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Women's Health: Dysfunctional Uterine Bleeding

WHAT YOU SHOULD KNOW

Dysfunctional uterine (dis-FUNK-shun-ul U-ter-in) bleeding occurs in the uterus (and comes out the vagina) and is not part of the normal period. It mostly happens in women who are older than 45, and sometimes in young girls.

Causes

The bleeding results from a problem with estrogen, one of the body's reproductive hormones. If you do not manufacture the right amount of estrogen, there may be excessive growth in the lining of your uterus (womb), or you may not pass an egg (ovulate). As a result, you may see a change in the amount of bleeding during your period, as well as bleeding between periods.

Signs/Symptoms

The hallmark of this condition is bleeding between periods. The bleeding can be heavy, irregular (""spotting'' at different times), or last longer than a normal period.

Care

Your doctor may need to examine you and take a small sample of the lining of your uterus. You may need a hormone medicine to help make your periods regular. If you have a lot of bleeding, you may lose too much iron, and your doctor may give you an iron supplement or ask you to eat foods that have lots of iron in them.

WHAT YOU SHOULD DO

  • If your doctor prescribes medicine to make your periods regular, be sure to take it exactly as directed.
  • If your bleeding is heavy and the doctor prescribes iron pills, take them regularly. They are an important part of therapy.
  • Don't take aspirin or medicines that contain aspirin one week before or during your menstrual period. Aspirin may make the bleeding worse.
  • If you need to change your sanitary pad or tampon more than once every 2 hours, stay in bed and rest as much as possible until the bleeding stops.
  • Eat well-balanced meals with foods high in iron. Examples are leafy green vegetables, meat, liver, eggs, and whole-grain breads and cereals. Don't try to lose weight until the abnormal bleeding has stopped and your blood iron level is back to normal.
  • Try not to get too stressed, or learn ways to control the tension. Stress may be making your problem worse.
  • If you have pain or cramps, try a heating pad or hot bath.

Call Your Doctor If...

  • You need to change your sanitary pad or tampon more than once an hour.
  • You develop nausea and vomiting, dizziness, or diarrhea while you are taking your medicine.

Seek Care Immediately If...

  • You have a high temperature or chills.

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