What is Dysfunctional Uterine Bleeding?
Dysfunctional Uterine Bleeding (DUB) is the excessive uterine bleeding where no organic cause (systemic, haematological or pelvic) can be detected.. The nature of bleeding is one of menorrhagia, polymenorrhoea, metrorrhagia andcontinuous bleeding preceded by amenorrhoea.
Some women may experience heavy menstrual bleeding during periods and the bleeding may last for more than 7 days. Sometimes there will be less bleeding and at times there will be irregular menstrual periods also. Sometimes there may be bleeding in between the menstrual cycle and even spotting can be seen.
Any Blood loss above 80 ml in menstruation is taken as menorrhagia. DUB is caused by endocrine dysfunction particularly anovulation Dysfunctional uterine bleeding is classified as follow:
Menorrhagia, polymenorrhoea, polymenor-rhagia (pvular) Aetiology. No menstrual endocrinal dysfunction is found. Postulated mechanism is :
- Excessive endometrial secretion of PGE2- failure of vasoconstriction.
- Excess prostacychn (PGh) in endometrium and myometnum causing inhibition of platelet aggregation and endometnal vasodilatation.
- Excess fibrinolysis with failure of formation of secondary thrombotic plug.
- Defect in spiral vessels.
- Increase in endometrial lysosomal enzymes with excessive formation of prostahoids.
- Endometrial vascular system is affected perhaps by sympathetic nervous system-environmental, stress, undemutrition. Anxiety states affect endometreal vascular function.
Histology. Endometrium on curetting shows normal endometrium -secretory in secretory phase in 63.5% cases of DUB (Sutherland, 1949). Mishell, 1987 puts incidence of ovulatory DUB as 15%.
Irregular bleeding (anovular).
This type is seen in puberty, premenopause, obesity, PCOD, Corpus luteal abnormalities.
Home Remedies for DUB
Home Remedies for DUB
Signs and Symptoms of Dysfunctional Uterine Bleeding
The disease may occur at any time during reproductive life especially at puberty (puberty-adolescent group before 20 years), before menopause (perimenopausal group after 40 years), and after child-birth or abortion (maturity group between 20-40 years). Parous women are more affected than nulliparous ones. The disease is common during the premenopausal years.
(1) Menorrhagia and polymenorrhoea; (2) menometrorrhagia ; (3) there may be prolonged painless bleeding often preceded by a period of amenorrhoea for a month or two (metropathic bleeding); (4) symptoms due to severe anaemia following excessive blood loss, e.g., palpitation, weakness, etc., may be present.
Sign. 1. Patient is anaemic. Seldom, the patient may be in the exsanguinated state. Patient can be obese or with features with PCOD.
2. Bimanually per vagina, Cervix is checked normal, uterus felt normal sized; in some cases, it is slightly soft bulky enlarged cystic ovary can be felt on one or both sides of the uterus.
Remedies for Dysfunctional Uterine Bleeding
Garlic’s health benefits and medicinal properties have long been known. Garlic has long been considered a herbal ‘wonder drug’, with a reputation in folklore for preventing everything from the common cold and flu to the Plague! It has been used extensively in herbal medicine. Studies have shown that garlic – especially aged garlic – can have a powerful antioxidant effect. Antioxidants can help to protect the body against damaging ‘free radicals’. It will be ideal to consume five or six garlic cloves daily and this will help you to get rid of the pain and discomfort during heavy bleeding.
A person having dysfunctional uterine bleeding must take a nutritive diet that includes fruits, vegetables, green leafy vegetables, whole grains, legumes, fish having omega 3 fatty acid etc. omega 3 fatty acids may help you to get rid of the pain at the time of bleeding. Include drumstick, papaya, bitter gourd, snake gourd, cucumber etc in your diet and avoid egg plants, potato, yellow pumpkin, sour and fried foods. Try to avoid the foods that lead to constipation. Also avoid chicken, meat, cheese and other saturated meat products.
Shepherd’s purse is an herbal medicine used to treat skin wounds and to reduce swelling and stop bleeding. Soak one teaspoon of shepherds purse in a glass of tepid water and keep it for two hours. Stir the contents in between and filter the liquid after two hours. Take 13rd of this liquid at a time and repeat this in between the meals for two more times. This will help you to control the bleeding and in three hours time the bleeding becomes normal