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Menstrual Disorders:
Dysfunctional Uterine Bleeding
Health Services

TasTAFE Health Services
www.tastafe.tas.edu.au

Menst...
Dysfunctional Uterine Bleeding
Dysfunctional uterine bleeding is a term
describing irregular, abnormal bleeding that
is no...
Dysfunctional Uterine Bleeding
Dysfunctional uterine bleeding occurs at the
beginning and end of a woman’s reproductive
ye...
Dysfunctional Uterine Bleeding:
Types

 Amenorrhea: (absence of menstruation)
 Hypomenorrhea: (scanty menstruation)
 Ol...
Dysfunctional Uterine Bleeding:
Causes
Secondary dysmenorrhea is:
IUCD
Polysystic ovary syndrome
Morbid obesity
Steroi...
Dysfunctional Uterine Bleeding: Signs
•
•
•
•
•
•
•
•
•
•

vaginal bleeding between periods
irregular menstrual cycle
infe...
Dysfunctional Uterine Bleeding: Assessment


Patient history



Physical examination:
• assist in pelvic examination to ...
Dysfunctional Uterine Bleeding: Assessment
Treatment of dysfunctional uterine bleeding will vary
depending on the cause an...
Dysfunctional Uterine Bleeding: Treatment
If the patient do not respond to medical intervention:
 D&C
 Endometrial ablat...
Dysfunctional Uterine Bleeding: Nursing
Management

The Nurse will:
 Educate the client about normal menstrual cycle and ...
Dysfunctional Uterine Bleeding: Nursing
Management
If left untreated, dysfunctional uterine bleeding may result
in:
 infe...
Copyright 2013, State of Tasmania. This resource has been developed by
TasTAFE Health Services North. All content in this ...
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Dysfunctional uterine-bleending

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Transcript of "Dysfunctional uterine-bleending"

  1. 1. Menstrual Disorders: Dysfunctional Uterine Bleeding Health Services TasTAFE Health Services www.tastafe.tas.edu.au Menstrual Disorders: Dysfunctional Uterine Bleeding | Page 1
  2. 2. 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
  3. 3. 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
  4. 4. 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
  5. 5. 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
  6. 6. 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
  7. 7. 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
  8. 8. 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
  9. 9. 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
  10. 10. 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
  11. 11. 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
  12. 12. 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
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