Identify urgent or emergent conditions that manifest as abnormal bleeding, such as ectopic pregnancy, placenta or vasa previa, and preterm labor. Management of acute abnormal uterine bleeding in nonpregnant. Abnormal uterine bleeding due to ovulatory dysfunction aubo is abnormal uterine bleeding that, after examination and ultrasonography, cannot be attributed to the usual causes structural gynecologic abnormalities, cancer, inflammation, systemic disorders, pregnancy, complications of pregnancy, use of oral contraceptives or certain drugs. Abnormal uterine bleeding is bleeding that is different from a womans normal menstrual cycle, unrelated to menstruation, or unusual for her age.
Full text a case of abnormal uterine bleeding of unknown. Your health care provider should explain the types of bleeding patterns to expect with your hormone prescription. Abnormal uterine bleeding american family physician. Modern management of abnormal uterine bleeding crc press. Abnormal uterine bleeding aub is a common problem among nonpregnant women in the reproductive age. Abnormal uterine bleeding in the premenopausal period 93 hypothyroidism, hyperthyroidism and hyperprolactinemia. Jul 16, 20 abnormal uterine bleeding organic causes functional uterine bleedingdub deseases of genitaltract pregnancy related irregularity abnormal bleeding from genitaltract without any demonstrable organic cause. Figo classification system palmcoein for causes of.
Evaluation and management of abnormal uterine bleeding. This revision is part of the series, guidelines and recommendations. Discuss the palmcoein classification system for diagnostic workup. Howeve r, there are rare hormonal conditions that cause abnormal uterine bleeding in ovulatory cycles. Polyps or fibroids small and large growths in the uterus can also cause bleeding. Dysfunctional uterine bleeding occurs when the cycles hormonal signals get thrown off. Abnormal uterine bleeding can be due to a number of organic and dysfunctional causes. Pdf abnormal uterine bleeding aub is a common and debilitating condition with high direct and indirect costs.
It is one of the most common health issues for women. Other causes of abnormal bleeding must also be ruled out, including. Abnormal uterine bleeding national health portal of india. Management of abnormal uterine bleeding in reproductive period. Abnormal uterine bleeding aub is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Hkcog guidelines number 5 may 2001 1 hkcog guidelines guidelines on investigation of women with abnormal uterine bleeding under the age of 40 published by the hong kong college of obstetricians and gynaecologists a foundation college of hong kong academy of medicine number 5 may 2001 1 introduction abnormal uterine bleeding aub is a. Abnormal uterine bleeding aub is a common problem among women in the reproductive age. Guidelines for the management of abnormal uterine bleeding. In the treatment of women with abnormal uterine bleeding, once a thorough history, physical examination, and indicated imaging studies are performed and all significant structural causes are excluded, medical management is the firstline approach. Formerly, it was known as dysfunctional uterine bleeding dub.
This will depend on the cause of the abnormal uterine bleeding if a chronic illness or a blood disorder is at the root of your symptoms, treating that can help. Abnormal uterine bleeding aub is a common clinical problem, affecting up to 14% of women during their reproductive years and impairing their quality of life by creating significant physical, emotional, sexual, social, and financial burdens. It reflects a disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining. As a result, in ovulatory dysfunctional uterine bleeding, treatment with prostaglandin synthetase inhibitors are more effective than hormonal treatment. Women who take hormone therapy may experience normal or abnormal uterine bleeding. This can include alternating periods that are heavy and light, spotting or unpredictable shorter and longer. Anovulatory dysfunctional uterine bleeding may therefore occur and results in irregular, prolonged, and sometimes heavy menstrual bleeding. Introduction it is not uncommon for a woman to suffer from abnormal uterine bleeding aub or heavy menstrual bleeding hmb at some point during her lifetime. Abnormal uterine bleeding aub is a common condition that leads to increased health care costs and decreased quality of life. Anovulatory uterine bleeding abnormal uterine bleeding aub. Modern management of abnormal uterine bleeding focuses on helping gynecologists refine their operative techniques and consider new approaches to the diagnosis, and treatment, of this highly challenging condition by investigating. Abnormal uterine bleeding has various definitions and.
This includes procedures that use a resectoscope to surgically remove, electrically desiccate or vaporize the endometrium, as well as laser destruction of the. Abnormal uterine bleeding aub is a condition that affects approximately 30% of women during their reproductive years. The term dysfunctional uterine bleeding was used when no underlying cause was present. Management choices are determined in partnership with an individual womans need for uterine and fertility preservation. Abnormal uterine bleeding aub is a common and debilitating condition with high. Abnormal uterine bleeding is defined as bleeding that occurs at unexpected times, lasting longer or shorter and varies from a typical menstrual cycle. Ovulatory abnormal uterine bleeding, or menorrhagia, may be caused by thyroid dysfunction, coagulation defects most. Clinical policy effective11012011 19962012, oxford health plans, llc 3 manual endometrial ablation. Bleeding may be heavier or lighter than usual and occur often or randomly. Application with clinical presentations through diagnostic workup and treatment strategies.
Winner of the standing ovation award for best powerpoint templates from presentations magazine. Abnormal uterine bleeding request pdf researchgate. Abnormal uterine bleeding organic causes functional uterine bleedingdub deseases of genitaltract pregnancy related irregularity abnormal bleeding from genitaltract without any demonstrable organic cause. Its prevalence, causes and management in chitwan abstract abnormal uterine bleeding is a common morbid condition of woman seeking medical advice. Abnormal uterine bleeding aub is a common problem for which pelvic sonography is indicated. By physical examination, laboratory and imaging tests, pregnancy, iatrogenic cause, systemic. Dysfunctional uterine bleeding is the occurrence of uterine bleeding unrelated to structural abnormalities of the uterus or the endometrial lining.
Abnormal uterine bleeding aub is a common but complicated clinical presentation. Understand the diagnostic modalities commonly used in the workup of aub 4. Dub is typically characterized by heavy prolonged flow with or without breakthrough bleeding. It may impact physical, emotional sexual and professional aspects of the lives of.
Chronic abnormal uterine bleeding aub, a term that refers to menstrual bleeding of abnormal quantity, duration, or schedule, is a common gynecologic problem, occurring in approximately 10 to 35 percent of women. Abnormal uterine bleeding aub may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy 1 2. Abnormal uterine bleeding aub is a chronic debilitating condition affecting women worldwide with a significant negative impact on their quality of life. Aub frequently coexists with fibroids, but the relationship between the two remains. Dysfunctional uterine bleeding and uterine fibroids. Dysfunctional uterine bleeding dub represents a particular type of abnormal uterine bleeding aub, and is defined in the usa as an excessive, prolonged and irregular bleeding of the endometrium.
This is the most common reason women visit the gynecologist and the second most common reason for a hysterectomy. Dub is defined as abnormal uterine bleeding with no demonstrable organic cause. Abnormal uterine bleeding aub is defined as changes in frequency of menses, duration of flow or amount of blood loss. Abnormal uterine bleeding formerly, dysfunctional uterine bleeding dub is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. Aub leads to loss of productivity1 and may result in surgical interventions including hysterectomy2. May 09, 20 dysfunctional uterine bleeding occurs when the cycles hormonal signals get thrown off. Abnormal uterine bleeding is a common reason for women of all ages to consult their family physicians. Our support group helps people share their own experience. In cases of acute and severe bleeding, women may need urgent treatment with. Acute aub refers to an episode of heavy bleeding that, in the opinion of the clinician, is of sufficient quantity to require immediate intervention to prevent further blood loss 1. Pathophysiology of abnormal uterine bleeding request pdf. Management of abnormal uterine bleeding wesley obgyn.
Abnormal uterine bleeding aub describes a range of symptoms, such. Abnormal uterine bleeding describes any variation from normal. Signs of hypothyroidism are irregu lar periods with weight gain, lethargy, obstipation, hair loss especially at the eyebrows and a dry skin. A systematic approach to aub evaluation can simplify management and enhance womens wellbeing. Define the pathophysiology of abnormal uterine bleeding. The normal duration of menstrual bleeding is between two and seven days. In women of childbearing age, a methodical history, physical examination, and laboratory evaluation may enable. Michael evans developed the onepager concept to provide clinicians with useful clinical information on primary care topics. Terms used to describe patterns of abnormal uterine bleeding are based on periodicity and. Postmenopausal women with abnormal uterine bleeding should be. Abnormal uterine bleeding british medical bulletin oxford academic. Ask questions and get answers about abnormal uterine bleeding. Abnormal uterine bleeding is a frequent condition in gynecology. Chronic heavy or prolonged uterine bleeding can result in anemia, interfere with daily activities, and raise concerns about uterine cancer.
Aub frequently coexists with fibroids, but the relationship between the two remains incompletely understood and in many women the identification of fibroids may be incidental to a menstrual bleeding complaint. Apr 29, 2017 dysfunctional uterine bleeding dub a state of abnormal uterine bleeding aub without any clinically detectable organic, systemic, and iatrogenic cause. Being one of the common gynecological problems we did this study to find out the hospital prevalence, causes and management at chitwan medical college. Abnormal uterine bleeding healthcare baylor college of. It is a diagnosis of exclusion made after structural causes of bleeding and chronic medical diseases have been ruled out. Abnormal uterine bleeding occurs when either the frequency or quantity of uterine. Abnormal uterine bleeding geneva foundation for medical.
Abnormal uterine bleeding dysfunctional uterine bleeding ncbi. Dec 07, 2018 dysfunctional uterine bleeding dub is irregular uterine bleeding that occurs in the absence of pathology or medical illness. By physical examination, laboratory and imaging tests, pregnancy. Describe the different options for both the medical and surgical management of aub objectives no financial disclosures to report financial disclosure.
Dysfunctional uterine bleeding dub is a diagnosis of exclusion when there is no pelvic pathology or underlying medical cause. Pdf abnormal uterine bleeding is a frequent condition in gynecology. National collaborating centre for womens and childrens health, national institute of clinical excellence. Us of abnormal uterine bleeding1 learning objectives after reading this article and taking the test, the reader will be able to. Health care practitioners deal with this problem frequently. Rarely, a thyroid problem, infection of the cervix, or cancer of the uterus can cause abnormal uterine bleeding. Aub is responsible for significant health problem and social embarrassment and it is one of the common reasons women seek health care. Abnormal uterine bleeding aub, also known as atypical vaginal bleeding, is vaginal bleeding from the uterus that is abnormally frequent, lasts excessively long, is heavier than normal, or is irregular. Once a woman who is not taking hormone therapy enters menopause and the menstrual cycles have ended, any uterine bleeding is considered abnormal.
A reproductiveaged woman presented abnormal uterine bleeding of unknown reason with a heavy bleeding intermenstrual period. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Abnormal uterine bleeding is defined as any alteration in the volume, pattern or duration of menstrual blood flow. Abnormal uterine bleeding is a broad term that indicates a change in frequency of menses, duration of flow or amount of blood loss. Classification and the diagnostics of abnormal uterine. Abnormal uterine bleeding due to ovulatory dysfunction aubo. Dysfunctional uterine bleeding dub a state of abnormal uterine bleeding aub without any clinically detectable organic, systemic, and iatrogenic cause. Abnormal uterine bleeding is a common presenting symptom in the family practice setting.
Abnormal uterine bleeding can be caused by many different conditions. Abnormal uterine bleeding is a common but complicated clinical presentation that impairs the quality of life in women. Abnormal uterine bleeding due to ovulatory dysfunction. Ppt abnormal uterine bleeding powerpoint presentation.
While evident nub is relatively rare, biochemical proofs of vaginal bleeding can be found in 2561% of neonates, depending on different methods used to detect it. Feb 06, 2020 dysfunctional uterine bleeding, also called anovulatory bleeding, is any bleeding from the vagina that varies from a womans normal menstrual cycle. Abnormal uterine bleeding in the premenopausal period. Abnormal uterine bleeding aub is a broad term that describes irregularities in the menstrual cycle involving frequency, regularity, duration. A variety of things can cause abnormal uterine bleeding.
In women of childbearing age, a methodical history, physical examination, and. Bleeding that occurs erratically or excessive regular menstrual bleeding is considered to be abnormal uterine bleeding. Signs of hyperthyroidism are sweating, menorrhagia, palpitations, weight loss. Neonatal uterine bleeding nub occurs in approximately 5% of newborns and represents, similarly as menstrual bleeding, a progesterone pg withdrawal bleeding. Hkcog guidelines number 5 may 2001 hkcog guidelines number. The normal cycle is triggered by signals from hormones. This time usually starts in women in their mid to late forties and may last between one and seven years.
The medical management of abnormal uterine bleeding in. To design a universally accepted system for describing bleeding problems in reproductiveaged women, a new classification system was created named for the acronym palmcoein polyp, adenomyosis, leiomyoma, malignancy and hyperpla. Patients may see a health care provider because of infrequent menses, prolonged and heavy menses menorrhagia, intermenstrual bleeding or spotting, postcoital spotting, or irregular and heavy menses menometrorrhagia. List common manifestations of abnormal bleeding that are speci. Aub may be accompanied by pain and discomfort, cause significant social embarrassment, and have a substantial effect on healthrelated quality of life. Perimenopausal dysfunctional uterine bleeding the perimenopause is the time prior to the natural cessation of menses when many changes occur due to the absence of ovulation and decreased estrogen production.
Describe an approach to evaluation of abnormal uterine bleeding on the basis of hormonal status. Diagnosing the cause of abnormal uterine bleeding starts with a. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that. It may impact physical, emotional sexual and professional aspects of the lives of women, impairing their quality of life. Evaluation and management of abnormal uterine bleeding in.