Dysfunctional Uterine Bleeding and Hormonal Imbalance Women From 30 to 50

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One of the most common gynecologic problems in women from 30 to 50 is dysfunctional uterine bleeding, abnormal uterine bleeding (menorrhagia) or so-called DUB. This condition is caused by an imbalance of hormones in the body that control the menstrual cycle.

This diagnosis is most typical for women over 45 who are getting closer to menopause stage, when periods become irregular and unpredictable. But young women also may have the same symptoms. A woman may not have menstruation for several months, but then could finally have very heavy bleeding that lasts more than a regular period. She may feel like her body is weakened after a significant blood loss. Usually in this state it’s hard to do things you normally do.

If you experience heavy menstruation, it should be a sign for you to consult your physician. Heavy or excessive uterine bleeding is caused not only by a hormonal imbalance. There can be other serious causes of heavy bleeding: fibroids (uterine myomas), cervical or endometrial polyps, and adenomyosis.

Women using intrauterine devices (IUDs) as a birth control method may also have heavy and long periods. In this case, if you have a menorrhagic condition while using an IUD, the IUD will have to be removed and substituted with another birth control method.


The first step to determine the cause of occurred excessive bleeding is a pelvic exam, including blood tests to check for thyroid dysfunction or any underlying causes, as well as pregnancy test when appropriate and a Pap smear.

An ultrasound can be performed in order to check all possible abnormalities, such as fibroids and an endometrial biopsy. D & C or hysteroscopy may also be done to further evaluate the condition of the uterus.

Conventional Treatment

Prescribing synthetic hormones — progesterone and estrogen or a combination of these hormones — treats mostly abnormal bleeding. Severe bleeding can be treated with non-steroidal anti-inflammatory drug, such as ibuprofen, which may help reduce the amount of blood as well as the accompanying and sometimes very painful cramps.

Women who often experience menorrhagia should be tested for anemia — in such cases an iron supplement should be added to women’s diet.

Endometrial ablation is commonly used to treat abnormally heavy bleeding in women who are already past their child-bearing years and who prefer to avoid a hysterectomy. This procedure may relieve very heavy menstrual bleeding; it causes sterility (inability to become pregnant), but it does not cause menopause to begin.

Women's Health
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