Dysfunctional uterine bleeding classification: Difference between revisions
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{{Dysfunctional uterine bleeding}} | {{Dysfunctional uterine bleeding}} | ||
{{CMG}} {{AE}} {{VVS}} | {{CMG}}; {{AE}} [[User:AroojNaz|Arooj Naz, M.B.B.S]], {{VVS}} | ||
==Overview== | |||
[[Dysfunctional uterine bleeding]] has multiple underlying causes but, at its root, the disease can be subdivided into [[ovulatory]] or [[Anovulatory bleeding|anovulatory]] causes. Ovultaory bleeding occurs when there are underlying issues of [[ovulation]]. This may be due to [[Ovarian|ovarian dysfunction]] as well as [[hypothalamic axis]] disorders. [[Anovulatory bleeding|Anovulatory]] causes are those that occur independent of ovulatory dysfunctions such as [[pregnancy]], [[weight gain]], [[endocrinopathies]], and [[drugs]]. [[Idiopathic]] causes may also contribute to anovulatory dysfunctional uterine bleeding. Affected patients may affect with a range of [[uterine bleeding]] patterns such as [[menometrorrhagia]], [[metrorrhagia]], [[menorrhagia]] as well as [[Menstrual spotting|inter menstrual spotting]]. | |||
==Classification== | ==Classification== | ||
It can be classified as ''ovulatory'' or ''anovulatory'', depending on whether [[ovulation]] is occurring or not. | It can be classified as ''[[ovulatory]]'' or ''[[Anovulatory Bleeding|anovulatory]]'', depending on whether [[ovulation]] is occurring or not.<ref name="pmid3054963">{{cite journal| author=Field CS| title=Dysfunctional uterine bleeding. | journal=Prim Care | year= 1988 | volume= 15 | issue= 3 | pages= 561-74 | pmid=3054963 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3054963 }}</ref> | ||
* Uterine bleeding is deemed abnormal when there is an irregular amount or an irregular pattern of bleeding. | *[[Uterine bleeding]] is deemed abnormal when there is an irregular amount or an irregular pattern of bleeding. | ||
* Menometrorrhagia: Excessive and irregular bleeding between cycles and during menstruation | *[[Menometrorrhagia]]: Excessive and irregular bleeding between cycles and during menstruation | ||
* Metrorrhagia: Irregular and more frequent bleeding | *[[Metrorrhagia]]: Irregular and more frequent bleeding | ||
* Menorrhagia: Excessive, but regular bleeding | *[[Menorrhagia]]: Excessive, but regular bleeding | ||
== Ovulatory == | ==Ovulatory== | ||
Ovulatory DUB happens with the involvement of ovulation, and may represent a possible [[endocrine]] dysfunction, resulting in [[menorrhagia]] or [[metrorrhagia]]. | Ovulatory DUB happens with the involvement of ovulation, and may represent a possible [[endocrine]] dysfunction, resulting in [[menorrhagia]] or [[metrorrhagia]]. Mid-cycle bleeding may indicate a transient [[estrogen]] decline, while late-cycle bleeding may indicate [[progesterone]] deficiency. Ovulatory causes are associated with vascular disturbances.<ref name="pmid8982758">{{cite journal| author=Fraser IS, Hickey M, Song JY| title=A comparison of mechanisms underlying disturbances of bleeding caused by spontaneous dysfunctional uterine bleeding or hormonal contraception. | journal=Hum Reprod | year= 1996 | volume= 11 Suppl 2 | issue= | pages= 165-78 | pmid=8982758 | doi=10.1093/humrep/11.suppl_2.165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8982758 }}</ref> | ||
Mid-cycle bleeding may indicate a transient [[estrogen]] decline, while late-cycle bleeding may indicate [[progesterone]] deficiency. | |||
== Anovulatory == | ==Anovulatory== | ||
[[Anovulatory cycle]] DUB happens without the involvement of [[ovulation]]. | [[Anovulatory cycle]] DUB happens without the involvement of [[ovulation]]. The etiology can be [[psychological]] stress, weight ([[obesity]], [[anorexia nervosa|anorexia]], or a rapid change), [[exercise]], [[endocrinopathy]], [[neoplasm]], [[medication|drugs]], or it may be otherwise [[idiopathic]]. anovulatory causes are associated with structural endometrial defects.<ref name="pmid89827582">{{cite journal| author=Fraser IS, Hickey M, Song JY| title=A comparison of mechanisms underlying disturbances of bleeding caused by spontaneous dysfunctional uterine bleeding or hormonal contraception. | journal=Hum Reprod | year= 1996 | volume= 11 Suppl 2 | issue= | pages= 165-78 | pmid=8982758 | doi=10.1093/humrep/11.suppl_2.165 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8982758 }}</ref> | ||
The etiology can be [[psychological]] stress, weight ([[obesity]], [[anorexia nervosa|anorexia]], or a rapid change), [[exercise]], [[endocrinopathy]], [[neoplasm]], [[medication|drugs]], or it may be otherwise [[idiopathic]]. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Latest revision as of 00:24, 19 March 2022
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Dysfunctional uterine bleeding Microchapters |
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Differentiating Dysfunctional uterine bleeding from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Dysfunctional uterine bleeding classification On the Web |
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American Roentgen Ray Society Images of Dysfunctional uterine bleeding classification |
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Directions to Hospitals Treating Dysfunctional uterine bleeding |
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Risk calculators and risk factors for Dysfunctional uterine bleeding classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S, Vishnu Vardhan Serla M.B.B.S. [2]
Overview
Dysfunctional uterine bleeding has multiple underlying causes but, at its root, the disease can be subdivided into ovulatory or anovulatory causes. Ovultaory bleeding occurs when there are underlying issues of ovulation. This may be due to ovarian dysfunction as well as hypothalamic axis disorders. Anovulatory causes are those that occur independent of ovulatory dysfunctions such as pregnancy, weight gain, endocrinopathies, and drugs. Idiopathic causes may also contribute to anovulatory dysfunctional uterine bleeding. Affected patients may affect with a range of uterine bleeding patterns such as menometrorrhagia, metrorrhagia, menorrhagia as well as inter menstrual spotting.
Classification
It can be classified as ovulatory or anovulatory, depending on whether ovulation is occurring or not.[1]
- Uterine bleeding is deemed abnormal when there is an irregular amount or an irregular pattern of bleeding.
- Menometrorrhagia: Excessive and irregular bleeding between cycles and during menstruation
- Metrorrhagia: Irregular and more frequent bleeding
- Menorrhagia: Excessive, but regular bleeding
Ovulatory
Ovulatory DUB happens with the involvement of ovulation, and may represent a possible endocrine dysfunction, resulting in menorrhagia or metrorrhagia. Mid-cycle bleeding may indicate a transient estrogen decline, while late-cycle bleeding may indicate progesterone deficiency. Ovulatory causes are associated with vascular disturbances.[2]
Anovulatory
Anovulatory cycle DUB happens without the involvement of ovulation. The etiology can be psychological stress, weight (obesity, anorexia, or a rapid change), exercise, endocrinopathy, neoplasm, drugs, or it may be otherwise idiopathic. anovulatory causes are associated with structural endometrial defects.[3]
References
- ↑ Field CS (1988). "Dysfunctional uterine bleeding". Prim Care. 15 (3): 561–74. PMID 3054963.
- ↑ Fraser IS, Hickey M, Song JY (1996). "A comparison of mechanisms underlying disturbances of bleeding caused by spontaneous dysfunctional uterine bleeding or hormonal contraception". Hum Reprod. 11 Suppl 2: 165–78. doi:10.1093/humrep/11.suppl_2.165. PMID 8982758.
- ↑ Fraser IS, Hickey M, Song JY (1996). "A comparison of mechanisms underlying disturbances of bleeding caused by spontaneous dysfunctional uterine bleeding or hormonal contraception". Hum Reprod. 11 Suppl 2: 165–78. doi:10.1093/humrep/11.suppl_2.165. PMID 8982758.