Anovulatory (dysfunctional uterine) bleeding

Alternative names:

bleeding - dysfunctional uterine; dysfunctional uterine bleeding

Symptoms:

• vaginal bleeding between periods
• menstrual periods, abnormal
• variable menstrual cycles
  • usually less than 28 days between menstrual periods

• variable menstrual flow ranging from scanty to profuse
• infertility
• mood swings
• hot flashes
• vaginal tenderness
• hirsutism--excessive growth of body hair (in a male pattern)

Signs and tests:

A pelvic examination will be performed.

Tests to determine the cause usually include:

• CBC
• serum HCG (to rule out pregnancy)
• thyroid function tests
• specific hormonal regulation tests
  • FSH - follicle stimulating hormone
  • LH - luteinizing hormone

Diagnostic procedures that may be performed include:

• endometrial biopsy
• D&C (dilatation and curettage)