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Management of abnormal uterine bleeding

C J Chuong1, P F Brenner

  • 1Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden 08103, USA.

American Journal of Obstetrics and Gynecology
|September 1, 1996
PubMed
Summary

Dysfunctional uterine bleeding (DUB) management varies by patient age and bleeding type, from acute high-dose estrogen to chronic hormonal therapies. Early diagnosis of conditions like von Willebrand

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Area of Science:

  • Gynecology
  • Reproductive Endocrinology
  • Internal Medicine

Background:

  • Dysfunctional uterine bleeding (DUB) presents as acute or chronic conditions.
  • Management strategies are tailored to patient age, reproductive status, and bleeding patterns.
  • Accurate diagnosis is crucial, as conditions like von Willebrand's disease can mimic DUB.

Purpose of the Study:

  • To outline current therapeutic approaches for dysfunctional uterine bleeding.
  • To differentiate management strategies for acute vs. chronic bleeding.
  • To highlight specific treatments for various patient demographics including adolescents, reproductive-aged women, and perimenopausal individuals.

Main Methods:

  • Review of established treatment protocols for dysfunctional uterine bleeding.

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  • Categorization of treatments based on bleeding acuity (acute vs. chronic) and patient characteristics.
  • Inclusion of medical and surgical management options, as well as diagnostic considerations for bleeding disorders.

    • Main Results:

    • Acute bleeding often managed with high-dose estrogen or curettage.
    • Anovulatory DUB treatments include medroxyprogesterone acetate, oral contraceptives, and clomiphene citrate based on patient needs.
    • Ovulatory DUB and perimenopausal bleeding require tailored hormonal therapies or surgical interventions in refractory cases.

    Conclusions:

    • Effective management of DUB requires individualized treatment plans.
    • Hormonal therapies, surgical options, and consideration of underlying bleeding disorders are key.
    • Timely diagnosis and appropriate intervention improve patient outcomes for DUB.