What is dysfunctional uterine bleeding in adolescents


What is dysfunctional uterine bleeding in adolescents

Abnormal vaginal bleeding is a pathological vaginal bleeding that occurs without clear pelvic pathologies, and in the absence of a general medical disease or pregnancy. Clinical presentations of Abnormal uterine bleeding reflect a physiological abnormality in the pattern of estrogenic stimulation of the endometrium due to chronic estrogenic stimulation of the endometrial lining especially in females with normogonadotropic anovulation. Common signs and manifestation of dysfunctional uterine bleeding include irregular vaginal bleeding that lasts more than 7 days, irregular frequent menstruations that occur more often than every 21 days, and missed periods with absence of periods form 35 days to 45 days. In norm, menstrual bleeding lasts 4 to 6 days.

In most cases, dysfunctional uterine bleeding is associated with chronic anovulation. About 90 percent of cases are anovulatory, whereas about 10% of cases are ovulatory. Dysfunctional uterine bleeding is the most common cause of AUB. In 50% of cases, it commonly occurs in women older than 40 years of age 45, and in 20% of cases, it occurs in adolescents younger than 18. Abnormal uterine bleeding is commonly treated with a short course of high dose combined oral contraceptives. If this treatment isn't effective, a dilation and curettage may be performed to clear the uterine lining. When needed, volume replacement therapy NaCl 0.9% or a blood transfusion is used to quickly restore blood volume to normal. Find Out More: How to treat dysfunctional uterine bleeding in adolescents?

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