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Published on: January 17, 2019
Management of dysfunctional uterine bleeding
N Pandiyan1, R Pandiyan, A George
1Apollo Hospitals, Madras, Tamil Nadu, India.
The National Medical Journal of India
|July 1, 1993
Summary
Abnormal uterine bleeding (AUB), often due to ovulation disorders, requires excluding pelvic disease. Medical treatments are effective for persistent AUB, while surgery is reserved for specific cases.
Area of Science:
- Gynecology
- Reproductive Endocrinology
Background:
- Abnormal uterine bleeding (AUB) is a common gynecological issue.
- It often stems from ovulation disorders and endometrial dysfunction.
- Diagnosis requires excluding underlying organic pelvic diseases.
Purpose of the Study:
- To outline the diagnostic and management principles for abnormal uterine bleeding.
- To discuss current therapeutic options for persistent AUB.
Main Methods:
- Review of diagnostic criteria for AUB.
- Evaluation of pharmacological treatments including hormonal, anti-prostaglandin, and anti-fibrinolytic agents.
- Assessment of surgical and interventional procedures.
Main Results:
- Prompt treatment of anemia, endocrine, and systemic causes is crucial.
- Combined estrogen-progestogen, anti-prostaglandin, and anti-fibrinolytic agents are effective for persistent AUB.
- Hysterectomy and endometrial ablation are options for older, parous women with persistent AUB.
Conclusions:
- Abnormal uterine bleeding management involves addressing underlying causes and symptoms.
- Pharmacological interventions are primary for persistent AUB.
- Radiotherapy is not a current management option for AUB.
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