Nursing Care Plan – Dysfunctional Uterine Bleeding (DUB)
Dysfunctional uterine bleeding is abnormal uterine bleeding in the absence of clinical or ultrasonographic evidence of structural abnormalities, inflammation, or pregnancy. Treatment is usually with oral contraceptives. Dysfunctional uterine bleeding (DUB), the most common cause of abnormal uterine bleeding, occurs most often in women > 45 (> 50% of cases) and in adolescents (20% of cases). The cause is usually estrogen production unopposed by progesterone, which can lead to endometrial hyperplasia. The endometrium sloughs and bleeds incompletely, irregularly, and sometimes profusely or for a long time. Endometrial hyperplasia, particularly atypical adenomatous hyperplasia, predisposes to endometrial cancer.