Dysfunctional uterine bleeding


For girls, when you are in developing period, there are many symptoms that can happen in your body. Especially, it takes time for the girl’s menstrual cycle to settle into something regular. However, in some cases, the change in blood flow can be a sign of serious things may happen in your body.

How could we definite “Dysfunctional uterine bleeding – DUB”?

Dysfunctional uterine bleeding (DUB), also known as “abnormal uterine bleeding (AUB)”, is a wrong symptom in girl period. It reflects the disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining and usually happens in the absence of recognizable pelvic pathology, general medical disease, or pregnancy.

Also, the bleeding is unpredictable in many ways. It may be excessively heavy or light and may be prolonged, frequent, or random. In case a girl has DUB, it means her period last longer or has more bleeding than normal. Or, it might mean that her bleeding is light and her periods are not coming as often as they should.

Because this is not usually a problem, doctors often do not do anything. But sometimes if they worry that DUB might cause another problem, they will do action.

What are the causes of DUB?

Usually, it happens because of the changes in the body’s hormone levels.

For teenage girls, the most common cause of hormone changes is when their body does not release an egg from one of the ovaries. This is called anovulation. For more details, the release of an egg is part of the hormone process that makes up the menstrual cycle. In case a girl’s body does not release an egg, too much extra blood, and tissue can build up in the lining of her uterus. When that lining eventually leaves the body, a girl can have more than normal amounts of bleeding. This bleeding might happen as part of a period or in between periods.

Anovulation is most likely to happen after a girl first starts getting her period. That’s because the ovaries have not fully developed yet. It can last for several years until a girl’s periods become regular.

What are the DUB’s signs?

There are some signs below that bleeding might not be normal.

One thing that can alert you to problems is the 1-10-20 test:

  • You use more than 1 sanitary pad or tampon per hour.
  • Your period lasts more than 10 days.
  • There have been fewer than 20 days between your periods.

If you notice any of these things, call your doctor. Bleeding in between periods or after sex also can be a sign of DUB.

If your period stops for more than 3 months, ask your doctor about that, too. If you are not bleeding, the lining of the uterus can keep building up. Eventually, it will need to flow out.

How is DUB diagnosed?

To diagnose DUB, doctors will ask you some questions about periods and bleeding. Expect your doctor to ask the date your last period started.

A doctor also might ask questions that do not seem connected to bleeding such as about recent weight changes or if you have ever had sex. Doctors ask these questions because conditions like polycystic ovary syndrome and some STDs can cause abnormal bleeding. If they are not treated, they may lead to more serious health issues, like infertility (not being able to have a baby).

Another important thing is that girl who has had sex and misses a period need to see a doctor. Because it could be a sign of pregnancy as well as a sign of DUB. If you have heavy bleeding or bleeding between periods, it could be an infection or other problem.

A doctor might do a physical exam and may be a pelvic exam. Sometimes doctors order blood tests or ultrasound exams. Blood tests also can show if a girl has anemia (fewer red blood cells than normal).

How to treat DUB? 

If your symptom is serious, your body will need to be treated. Then a doctor will look at a girl’s hemoglobin level. This is a way to see if a girl has anemia or not:

  • Mild cases of DUB – a hemoglobin level of 12 or higher: a girl with a mild case of DUB is not considered anemic. Her doctor probably will tell her to keep track of her periods for a couple of months. The doctor might recommend ibuprofen or another nonsteroidal anti-inflammatory drug (NSAID) to decrease blood loss and ease pain from cramps. The doctor also might suggest taking a multivitamin with iron.
  • Moderate cases of DUB – a hemoglobin level between 10 and 12: girls with this hemoglobin level are anemic. Doctors often recommend hormonal treatment, which usually means birth control pills. Doctors might also tell a girl to take iron pills.
  • Severe cases – a hemoglobin level below 10: a girl with a severe case of DUB bleeds heavily. She may faint, feel dizzy, look pale, and have low blood pressure or a high heart rate. In severe cases, she might need treatment in a hospital and, possibly, a blood transfusion. Most cases of DUB are not severe. Most of the time, a girl with a severe case of DUB has a bleeding disorder.

Most of the girls need time for their body to adjust to their hormones. Eventually, their menstrual cycles get regular naturally. If you have ever worried that your period might not be normal, talk to your doctor.

Hello Health Group does not provide medical advice, diagnosis or treatment.

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