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. Chapters 0:00 Introduction 2:12 Causes of Dysfunctional Uterine Bleeding 2:43 Symptoms of Dysfunctional Uterine Bleeding 3:05 Diagnosis of Dysfunctional Uterine Bleeding 4:18 Treatment of Dysfunctional Uterine Bleeding Dysfunctional uterine bleeding is a common disorder marked by an irregular uterine bleeding that is found in the absence of structural pelvic pathology, pregnancy or general medical disease. • The bleeding is unpredictable, it may be excessively heavy or light and may be frequent, random or prolonged. • The condition affects nearly every woman at some point in their life. • Dysfunctional uterine bleeding can impact your life in a negative way. Not being aware of when the bleeding will start can cause anxiety and heavy menstrual bleeding may limit daily activities during period. • It is usually a menstrual disorder, although it is possible for the uterus to bleed abnormally outside menstruation. • Dysfunctional uterine bleeding can be classified as ovulatory or anovulatory depending whether ovulation is present or not • Anovulatory occurs when ovulation is not occurring and this type makes up about 90% of cases. • An anovulatory menstrual cycle is common at early puberty and the period around menopause. • In these cases, the period is delayed and when it occurs, menstruation can be very heavy and prolonged. This happens when women do not properly develop and release a matured egg, as a result, the corpus luteum that produces progesterone does not the form leading to a continuous production of estrogen which causes the overgrowth of the uterus lining. • Anovulatory dysfunctional uterine bleeding is also sometimes due to a delay in the full maturation of the reproductive system in teenagers. • About 1-2% of women with improperly treated anovulatory bleeding may develop endometrial cancer • Ovulatory dysfunctional bleeding makes up about 10% of cases. This happens in women who are ovulating but have a prolonged progesterone secretion due to a low estrogen level causing an irregular shedding of the uterine lining. CAUSES In many women, dysfunctional uterine bleeding is caused by an ovarian hormonal dysfunction. Other causes may include: • Endometrial polyps • Uterine fibroids • Infections of the uterus or cervix • Thickening of the uterine wall or lining • Endometrial cancer • Stress • Polycystic ovary syndrome • Some birth control • Weight loss • Excessive exercise • Obesity