ABNORMAL UTERINE BLEEDING
DEFINITION AND MANAGEMENT AND
ETIOLOGY FACTORS DIAGNOSTIC TESTS
CHARACTERISTICS EDUCATION
Irregular uterine Hormonal imbalance Endometrial Biopsy Birth Control Pills
bleeding that occurs in o Anovulation leading to overproduction of estrogen causing progressive o To determine if ovulation has taken o OCP, Estrogen,
the absence of endometrial thickening place Progestin
pathology or medical o Excessive exercise, stress, and weight loss cause hypothalamic suppression o will show cancer or a change in the cells IUDs
illness. leading to abnormal uterine bleeding due to disruption along the hypothalamus- o RESPONSIBILITY: Inform that procedure o Contain progesterone
Disruption in the pituitary-ovarian pathway causes only mild pain. D&C
normal cyclic pattern o Use of combination OCPs as well as progestin-only methods of birth control Hysterosonography o For patients who fail
of ovulatory hormonal o Ovarian follicles in older women secrete less estradiol. Fluctuating estradiol levels o Takes only a few minutes, is not to respond to
stimulation to the might lead to insufficient endometrial proliferation with irregular menstrual uncomfortable, and frequently hormonal
endometrial lining shedding. identifies the cause of bleeding management
Bleeding that occurs Myoma (Leiomyoma) o Uterus is filled with contrast media to o Done under GA,
between menstrual o typically grow larger as a woman ages, and usually decreases in size after outline the uterine cavity involves the scraping
periods menopause o Submucous fibroids, polyps, and other of the uterine lining
Excessive menstrual Polyps problems can be seen directly for analysis
bleeding o growths in the lining of the uterus that are very common, and usually benign o RESPONSIBILITY: Assess allergy for o rarely for therapeutic
Unpredictable in o may result from long-term estrogen stimulation such as occurs from extended iodine. Increase oral fluid intake to use in DUB
many ways; may be periods of not ovulating or from taking estrogen hormones without any excrete contrast media. Hysterectomy
excessively heavy or progesterone Complete Blood Count NSAIDs (Naproxen 500
light, prolonged, Adenomyosis o For assessment of hemoglobin and mg PO bid, with foods)
frequent, or random o When the lining of the uterus grows into the wall of the uterus, the condition is hematocrit Encourage to keep a
called adenomyosis. o RESPONSIBILITY: Document blood calendar of bleeding
o When the lining goes into the muscle some of the blood may be trapped. When loss. patterns.
extensive, this may cause severe cramps and heavy bleeding. Pap Smear Instruct to continue
Trauma or injury to cervix, vulva, or vagina o Used to rule out cervical cancer medications.
Carcinomas of the vagina, cervix, uterus, and ovaries RESPONSIBILITY: Provide privacy. Discuss how to prevent
Thyroid disorders Thyroid Function Test emotional stress.
o Associated with estrogen metabolism o Hyperthyroidism and hypothyroidism
Coagulation disorders are associated with ovulatory
o e.g. von Willebrand disease, myeloproliferative disorders, and immune dysfunction related to the metabolism
thrombocytopenia of estrogen
BAUTISTA, Jesther Rowen/CABAYA, Marichu SN IV
BAUTISTA, Jesther Rowen/CABAYA, Marichu SN IV
