Are you bleeding more than usual during your monthly periods? Are your periods lasting much longer than they usually do? If yes, then chances are you might be suffering from a condition called Dysfunctional Uterine Bleeding.
Dysfunctional Uterine Bleeding or DUB is said to occur when a girl experiences heavy bleeding during her periods (abnormal when compared to her previous flows) or has periods that last for more than 10 days. And although the condition is not considered as that much of a concern in most cases, sometimes it may lead to other health related ailments like anemia if not treated.
Common Causes For DUB
The most common cause for DUB in girls is attributed to hormonal imbalances that usually affect the body from the time of the first periods up until the time when the periods are regularized.
DUB usually occurs when an ovulation fails to occur. Accordingly, the process of ovulation involves an egg being released by the ovaries which would then pass through the uterus on its way to the vagina.
In normal ovulation, the uterus would have a lining of soft tissue reserved for pregnancy. If the egg is fertilized by a sperm as it passes through the uterus, it attaches itself to the lining of the same and develops into a baby. If not it moves out of the body and the soft tissue in the uterus sheds as well (which is seen as the blood flow that happens during menstrual cycles).
In case an ovulation does not occur, the lining in the uterus becomes thick. And so when the next egg comes along and causes shedding, the resulting bleeding would be more than usual.
In addition to hormonal imbalances, DUB can also be caused by thyroid imbalance, nutrition deficiencies, polycystic ovary syndrome, increased stress levels, rigorous exercise regimes or conditions like an ectopic pregnancy or Willebrand disease etc.
Symptoms You Need To Look Out For
Although heavy bleeding may not be a cause for concern, it is best recommended that you look out for the following symptoms if you experience abnormally heavy bleeding during your period.
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Accordingly, you would know that something is not right if your period lasts longer than it usually does (more than 10 days is a sign), if you keep on changing sanitary pads or tampons every hour or so, or if your periods start much earlier than usual (for example, within 20 days of the previous period).
It also pays to be safe than sorry. If you experience a monetary pause in your monthly cycles and don’t get your periods for about 2-3 months, don’t leave it like that. For without normal ovulation, the uterus lining would keep on building up and would shed more when you get your next period.
Ladies diagnosed with DUB would be done so only after several tests which would include a physical exam, a thorough pelvic examination, an ultrasound and certain blood tests. Depending on the severity of the condition and individual body constraints, the treatment for DUB would vary from individual to individual.
Accordingly, if a girl seems to be suffering from a mild case of DUB, she would be asked by the doctor to maintain a check on her periods for the next few months and she would most probably be prescribed medications like NSAIDs, iron tablets, multivitamin supplements or ibuprofen to control excess bleeding, provide relief from abdominal cramps and compensate for the decreasing hemoglobin levels.
A moderate case of DUB would warrant a checkup for anemia which is usually followed by hormonal treatment which in most cases would be via oral contraceptives. Accordingly, the girl in question would be asked to take multiple tablets throughout the day and then reduce the number slowly in the coming days. This would revive the menstrual cycle again. Girls with mild cases of DUB would also be prescribed iron tablets to control/prevent anemia.
In a severe case of DUB, the individual would be highly anemic and so would suffer from frequent bouts of dizziness, nausea, heart palpitations, or low blood pressure levels. In this cases, the girl in question would need to be hospitalized and given blood transfusions to compensate the extremely low hemoglobin levels in the body.
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