Dysfunctional Uterine Bleeding - Management

Management

Drug of choice is progesterone. Management of dysfunctional uterine bleeding predominantly consists of reassurance, though mid-cycle estrogen and late-cycle progestin can be used for mid- and late-cycle bleeding respectively.

Also, non-specific hormonal therapy such as combined high-dose estrogen and high-dose progestin can be given. Ormeloxifene is a non-hormonal medication that treats DUB but is only legally available in India.

The goal of therapy should be to arrest bleeding, replace lost iron to avoid anemia, and prevent future bleeding.

A hysterectomy may be performed in some cases.

Read more about this topic:  Dysfunctional Uterine Bleeding

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