Dysfunctional uterine bleeding Flashcards
Define dysfunctional uterine bleeding.
Abnormal uterine bleeding (AUB) is the term used to describe any symptomatic variation from normal menstruation in terms of regularity, frequency, volume, or duration. It also includes inter-menstrual bleeding. This differs from dysfunctional uterine bleeding (DUB), which is diagnosed by excluding pregnancy, iatrogenic causes, systemic conditions, and genital tract pathology.
Explain the aetiology/risk factors of dysfunctional uterine bleeding.
PALM-COEIN
Polyp
Adenomyosis
Leiomyoma
Malignancy and hyperplasia
Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not otherwise classified
What are the risk factors for dysfunctional uterine bleeding?
Women at the extremes of reproductive age
Polycystic ovary syndrome
Endocrine disorders
Other anovulatory disorders
Obesity
Summarise the epidemiology of dysfunctional uterine bleeding.
Common, affects 14%-25% of women of reproductive age.
Recognise the presenting symptoms of dysfunctional uterine bleeding.
Uterine bleeding
Identify appropriate investigations for dysfunctional uterine bleeding and interpret the results.
Pregnancy test
FBC
Speculum + cytology
Coag panel
Generate a management plan for dysfunctional uterine bleeding.
Can give Mirena coil or other contraception for heavy bleeding
Identify the possible complications of dysfunctional uterine bleeding and its management. Summarise the prognosis for patients with dysfunctional uterine bleeding.
Iron deficiency anaemia
Endometrial hyperplasia and potential endometrial cancer
Once regular cycles are established, prognosis is good