Abnormal Uterine Bleeding

Abnormal uterine bleeding can occur at any age. However, at certain times in a woman’s life it is common for periods to be somewhat irregular. They may not occur on schedule in the first few years after a girl has her first period (around age 9–16 years). Cycle length may change as a woman nears menopause (around age 50 years). It  also is normal to skip periods or for bleeding to get lighter or heavier at this time.

Menorrhagia

• Prolonged bleeding
• > 7 days or > 80 cc
• occurring at regular intervals.
• Frequency of AUB
• Menorrhagia occurs in 9-14% of healthy women.
• Most common Gyn disorder of reproductive age women

Metrorrhagia

• Uterine bleeding occurring at irregular but frequent intervals.

Menometrorrhagia

• Prolonged uterine bleeding occurring at irregular intervals.

Oligomenorrhea:

• Reduction in frequency of menses
• Between 35 days and 6 months.

Amenorrhea:

• No menses for 3-6 months

Primary amenorrhea

• No menses by age 13
• No secondary sexual development
• No menses by age 15
• Secondary sexual development present

Hypomenorrhea

• Reduction on number of days
• Reduction in amount of flow

Categories of AUB (abnormal uterine bleeding)

Associated with ovulatory cycles

• Usually an organic cause

Associated with anovulatory cycles

• Diagnosis of exclusion
• No anatomic abnormality
• Based on patient history

ETIOLOGY

Organic

• Systemic
• Reproductive  tract disease
• Iatrogenic

Dysfunctional

• Ovulatory
• Anovulatory

Most Common Causes of Reproductive Tract AUB

Pre-menarchal

• Foreign body

Reproductive age

• Gestational event

Post-menopausal

• Atrophy
• Reproductive Tract Causes
• Gestational events
• Malignancies
• Benign
• Atrophy
• Leiomyoma
• Polyps
• Cervical lesions
• Foreign body
• Infections

10% of women with postmenopausal bleeding will be diagnosed with endometrial cancer and an equal number with hyperplasia.
Management Prior to initiation of therapy:  pregnancy and malignancy must be ruled out.

• Progestins
• Estrogen
• OCs
• NSAIDs
• Antifibrinolytics
• Surgical

Homeopathy help better than any other system of medicines for ABNORMAL UTERINE BLEEDING / menstrual bleeding