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AUB Vahini

Atypical uterine bleeding in reproductive-age women can be caused by hormonal imbalances, structural abnormalities, infections, and coagulation disorders. Diagnosis involves a thorough history, physical examination, and various tests including pelvic ultrasound and blood tests. Management options include hormonal treatments, surgical interventions, iron supplementation for anemia, and non-hormonal medications to control bleeding.

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13 views6 pages

AUB Vahini

Atypical uterine bleeding in reproductive-age women can be caused by hormonal imbalances, structural abnormalities, infections, and coagulation disorders. Diagnosis involves a thorough history, physical examination, and various tests including pelvic ultrasound and blood tests. Management options include hormonal treatments, surgical interventions, iron supplementation for anemia, and non-hormonal medications to control bleeding.

Uploaded by

veerujakkani007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Atypical uterine bleeding

In reproductive age group


Presented by:
Punna Vahini
Hormone imbalance
Anovulation: Without ovulation, the endometrial lining may not shed properly, resulting
in irregular bleeding.
Polycystic Ovary Syndrome (PCOS): leads to irregular menstrual cycles and heavy
bleeding.
Thyroid Disorders
Obesity: Can contribute to hormonal imbalances due to excess estrogen production,
leading to irregular bleeding.
Stress: Chronic stress can affect the hypothalamic-pituitary-ovarian axis, disrupting
menstrual cycles.
Structural abnormalities : Medications :
1. Oral contraceptives,IUDs
1. Uterine fibroids. 2. Anticoagulants (warfarin)
2. Polyps 3. Emergency contraception
3. Adenomyosis
4. Endometrial hyperplasia Pregnancy related:
5. Endometrial cancer 1. Ectopic pregnancy
2. Miscarriage
Infections 3. Gestational trophoblastic disease

Pelvic inflammatory diseases


Coagulation disorders:
1. Von willebrand disease
2. Haemophilia
DIAGNOSIS
History and Physical Examination: history of menstrual patterns, sexual history,
contraceptive use, and systemic symptoms (e.g., weight gain, hair growth).

Pelvic Ultrasound: To check for structural causes like fibroids, polyps, or adenomyosis.

Endometrial Biopsy: In certain cases, especially when there’s a concern for


endometrial hyperplasia or cancer.

Blood Tests: To assess thyroid function, hormone levels, and check for anemia or
clotting disorders.

Pap Smear: To rule out cervical pathology.

Hysteroscopy: In some cases, a direct visualization of the uterine cavity may be


necessary.
MANAGEMENT:
Hormonal Treatments: Birth control pills, progestin-only pills, or hormonal
IUDs can regulate bleeding in cases related to hormonal imbalances.

Surgical Options: For structural causes like fibroids or polyps, treatments


may include surgery (myomectomy, polypectomy) or endometrial ablation.

Iron Supplementation: If there is significant blood loss leading to anemia,


iron supplements or other therapies to correct anemia may be necessary.

Non-Hormonal Medications: For managing heavy bleeding, drugs like


tranexamic acid or NSAIDs may be used to reduce bleeding.
Thank you!

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