Abnormal Uterine Bleeding

Abnormal Uterine Bleeding

H.Delshad MD

Endocrinologist

Research Institute for Endocrine Sciences  (SBUMS)

Causes of abnormal bleeding by age

Reproductive  years

Anovulation

Pregnancy

Cancer

Polyps, Fibroids, Adenomyosis

Infection

Bleeding  diathesis

Endocrine  dysfunctions

Systemic  disorders

Medications

Anovulation

• PCOS : common cause of abnormal bleeding in the adolescent with chronic anovulation
• Obesity, menstrual irregularity, insulin resistance, and/or signs of hyperandrogenism (hirsutism, acne, clitoromegaly)
• PCOS also should be considered in girls with prolonged menstrual irregularity and/or severe DUB, even in the absence of hirsutism or acne.

Bleeding  diathesis

• Menorrhagia that occurs at regular intervals or at the onset of menses is often related to a bleeding diathesis. 
•  The prevalence of bleeding disorders among adolescents hospitalized for Menorrhagia ranges from 5 to 28 percent