Abnormal bleeding vaginal or dysfunctional uterine bleeding (DUB)


The clinical condition of abnormal vaginal bleeding is other wise called dysfunctional uterine bleeding (DUB) in women commonly occurs due the hormonal levels changes in the person’s body.

Mennorrhea is the medical term to define the normal vaginal bleeding in women, where it happens on a periodic time table with blood discharging from the woman’s uterus that is called as menstruation.

Normally menstrual cycle varies from person to person, but on an average it usually happens every 28 days. Few women have menstrual cycles between 24 and 34 days apart lasting for 4-7 days.

While in the case of young girls it may occur between 21 to 45 days or more apart on the contrary women of the age 40 years or so will notice their period occurring seldom.

Symptoms:

  • Bleeding or spotting from the vagina between periods
  • Periods that occur less than 28 days apart (more common) or more than 35 days apart
  • Time between periods changes each month
  • Heavier bleeding (such as passing large clots, needing to change protection during the night, soaking through a sanitary pad or tampon every hour for 2 - 3 hours in a row)
  • Bleeding lasts for more days than normal or for more than 7 days
  • Excessive growth of body hair in a male pattern (hirsutism)
  • Hot flashes
  • Mood swings
  • Tenderness and dryness of the vagina

Abnormal bleeding vaginal or dysfunctional uterine bleeding



  • Complete blood count (CBC)
  • Blood clotting profile
  • Hormone tests
    • FSH
    • LH
    • Male hormone (androgen) levels
    • Prolactin
    • Progesterone
  • Pregnancy test
  • Thyroid function tests
  • Thyroid function tests
  • Pap smear and culture to look for infection
  • Biopsy to look for infection, precancer, or cancer, or to help decide on hormone treatment
  • Hysteroscopy, performed in the doctor's office, to look into the uterus through the vagina.
  • Transvaginal ultrasound