Dysfunctional uterine-bleending
Upcoming SlideShare
Loading in...5
×
 

Dysfunctional uterine-bleending

on

  • 735 views

 

Statistics

Views

Total Views
735
Views on SlideShare
707
Embed Views
28

Actions

Likes
1
Downloads
12
Comments
0

1 Embed 28

http://tastafe.moodle.com.au 28

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Dysfunctional uterine-bleending Dysfunctional uterine-bleending Presentation Transcript

  • Menstrual Disorders: Dysfunctional Uterine Bleeding Health Services TasTAFE Health Services www.tastafe.tas.edu.au Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 1
  • Dysfunctional Uterine Bleeding Dysfunctional uterine bleeding is a term describing irregular, abnormal bleeding that is not caused by pregnancy, tumor, or infection Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 2
  • Dysfunctional Uterine Bleeding Dysfunctional uterine bleeding occurs at the beginning and end of a woman’s reproductive years and is caused by an absence of ovulation; therefore, progesterone is not produced. This lack of ovulation and progesterone creates a hyperproliferative state that results in excessive bleeding due to the irregular shedding of the uterine lining. Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 3
  • Dysfunctional Uterine Bleeding: Types  Amenorrhea: (absence of menstruation)  Hypomenorrhea: (scanty menstruation)  Oligomenorrhea: (infrequent menstruation, periods more than 35 days apart)  Menorrhagia: (excessive menstruation),  Metrorrhagia: (bleeding between periods).  Menometrorrhagia: (is heavy bleeding during and between menstrual periods). Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 4
  • Dysfunctional Uterine Bleeding: Causes Secondary dysmenorrhea is: IUCD Polysystic ovary syndrome Morbid obesity Steroid therapy Hypothyroidism Clotting disorders Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 5
  • Dysfunctional Uterine Bleeding: Signs • • • • • • • • • • vaginal bleeding between periods irregular menstrual cycle infertility mood swings hot flashes vaginal tenderness menstrual flow either scanty or profuse obesity acne diabetes: insulin resistance is common Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 6
  • Dysfunctional Uterine Bleeding: Assessment  Patient history  Physical examination: • assist in pelvic examination to identify any structural abnormalities  Laboratory tests: • CBC to reveal anemia • PT to detect blood disorders • BHCG to rule out abortion or ectopic pregnancy • TSH to screens for hypothyroidism • Transvaginal ultrasound to measure endometrium • Pelvic ultrasound • Endometrial biopsy to check intrauterine pathology • D&C for diagnostic evaluation Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 7
  • Dysfunctional Uterine Bleeding: Assessment Treatment of dysfunctional uterine bleeding will vary depending on the cause and may include:  Medical care with pharmacotherapy:  estrogen: cause vasospasm of the uterine arteries to decrease bleeding  Cyclic progesterone or long acting progesterone  Oral contraceptives: regulate the cycle and suppress the endometrium  NSAIDs inhibit prostaglandin  Iron replacement Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 8
  • Dysfunctional Uterine Bleeding: Treatment If the patient do not respond to medical intervention:  D&C  Endometrial ablation: is an alternative to hysterectomy  Thermal balloon to ablate the endometrium Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 9
  • Dysfunctional Uterine Bleeding: Nursing Management The Nurse will:  Educate the client about normal menstrual cycle and the possible causes for her abnormal pattern  Inform the woman about treatment option  Inform her about any prescribed medication Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 10
  • Dysfunctional Uterine Bleeding: Nursing Management If left untreated, dysfunctional uterine bleeding may result in:  infertility from lack of ovulation  anemia from prolonged bleeding  endometrial cancer from prolonged build up of the endometrial lining without menstrual bleeding Therefore follow up and evaluation is necessary Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 11
  • Copyright 2013, State of Tasmania. This resource has been developed by TasTAFE Health Services North. All content in this resource has been produced by TasTAFE personnel and is made available to you for your personal research and study. The content in this resource must not be redistributed or copied in any form. Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 12