The following is an excerpt....
BASICS
Description
- Dysfunctional uterine bleeding (DUB) is irregular (usually heavy, prolonged, or frequent) bleeding that occurs in the absence of anatomic pathology
- Associated with anovulatory menstrual cycles
- Typically a diagnosis of exclusion: Need to exclude anatomic pathology and medical illnesses
- Systems affected: Endocrine/Metabolic, Reproductive
Epidemiology
- Predominant age: 12–50 years
- Predominant gender: Female only
- Adolescents and perimenopausal women are most often affected
Incidence
Accounts for 5–10% of outpatient gynecologic visits
Prevalence
Abnormal uterine bleeding occurs in:
- ~ 1 in 3 womern of reproductive age
- ~1 in 10 post-menopausal women
Risk Factors
Risk factors for endometrial cancer (which can cause DUB):
- Age > 40
- Obesity
- Diabetes Mellitus
- Nulliparity
- Early menarche or late menopause (> 55 years)
- Hypertension
- Chronic anovulation or infertility ...
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