DYSFUNCTIONAL UTERINE BLEEDING (DUB)
Dysfunction uterine bleeding (DUB) also called as abnormal uterine bleeding.DUB is irregular uterine bleeding that occurs in the absence of medical or pathological illness.
Disruption in the normal cyclical pattern of ovulatory hormonal stimulation of endometrial lining and unpredictable bleeding for example heavy,light, prolonged,
frequent or random which occurs mainly because of anovulatory menstrual cycles.
Polycystic Ovary Syndrome (PCOS) is an endocrine disorder in a women where increased amount of sex hormones occurs which leads to imbalance in estrogen and progesterone making menstrual cycle irregular. Imbalances in the thyroid cause this problem.
Endometriosis-occurs when uterine lining grows outside of the uterus like on ovaries leading to heavy bleeding.
Uterine fibroids- small growth which occurs within the uterus, uterine muscle or uterine lining cause is unknown but estrogen has a role in it.
Uterine Polyps- polyp is a growth which occurs within uterus where the cause isunknown. The poly is heavily influenced by hormone estrogen small blood vessel in the polyps can cause DUB or spotting between periods.
Sexually transmitted diseases (STDs)-inflammation like Gonorrhea and Chlamydia may cause DUB.
Cervix infection and uterine cancer can also cause bleeding.
Birth control pills
What are the symptoms of DUB?
heavy menstrual bleeding
bleeding that last for more than seven days.
bleeding between periods
bleeding that contains many clots or large clots
bleeding that occurs less than 21 days from last menstrual cycle.
bloating, pelvic pain or pressure
Symptoms which required immediate attention
soaking pad every hour
low blood pressure
increased heart rate
Diagnosis is made by medical history and history of menstrual cycle, which help to determine your risk for certain reproductive disorders like PCOS and Endometriosis
Ultrasound (USG) to view reproductive organs and abnormal growth like polyp and fibroids (to rule out internal bleeding).
Blood test-Complete Blood Count (CBC) low level of red blood cells.
Endometrial Biopsy-to rule out abnormal cells, hormone imbalance (cancer and other things).
How does Homeopathy Treatment help in DUB?
In case of puberty no action is taken because hormones usually to auto correction. The treatment of DUB depends on cause.Most common and simple treatment for DUB combination isOral Contraceptive.
Combination oral contraceptive contains synthetic estrogen and progesterone both helps to regulate and control menstrual cycle. Contraceptive methods like IUDs and Implant can also be used as hormonal treatment.
If patient is not planning for conceiving or pregnancy the physician will recommend this option.For very heavy bleeding low dose medication will not help to control bleeding, so intravenous estrogen can be administered
until bleeding gets subsided which is followed by a course of oral progesterone to balance hormones.
If patient is not trying to conceive and not having heavy bleeding physician will prescribe Ovulation Stimulating Drugs Clomiphene (clomid).
Stimulating ovulation can stop prolonged menstrual bleeding by resetting menstrual cycle.Surgical-Dilation and Curettage (D and C)- Heavy and prolonged bleeding with thick uterine lining and patient who fails to respond hormonal management.
It is surgical procedure to remove a part of uterine lining by scrapping it; if uterine cells found to be abnormal then biopsy is done to rule out cancer.Abdominal or vaginal hysterectomy -is necessary when hormonal therapy fails or declined.