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✅Subscribe Doctor Why on Telegram - https://t.me/doctorwhymed_bot (press start, and choose your plan) Anovulatory Bleeding (AUB-O) is Common and Hormonally Driven. Ovulatory dysfunction (AUB-O in PALM-COEIN) is a frequent cause of irregular, often heavy, bleeding. It results from continuous estrogen stimulation of the endometrium without the stabilizing effect of progesterone withdrawal that normally occurs after ovulation. This leads to a thickened, fragile endometrium that breaks down unpredictably. Clinical Importance: Recognize conditions associated with anovulation: Polycystic Ovary Syndrome, thyroid dysfunction, hyperprolactinemia, hypothalamic dysfunction (stress, excessive exercise, weight changes), and perimenopause/adolescence (immaturity of the HPO axis). Treatment often involves hormonal therapies (like progestins or combined hormonal contraceptives) to regulate cycles and stabilize the endometrium. #uterinebleeding #aub #anovulatorybleeding Professor Armen Astvatsatryan, MD, PhD, ScD, Fellow of European Society of Cardiology. First Dean and Founder of Faculty of Public Health of European Regional Educational Academy (now University). One of 100 Top Health Professionals - 2007 by the International Biographical Center`s (Cambridge, England) [email protected] https://t.me/ugolokdoctora / armenastvatsatryan