Abnormal Uterine Bleeding

Introduction
In women except menstrual period if there is bleeding, it is called abnormal uterine bleeding (AUB). It is the bleeding between the periods and its symptoms and causes can be different from patient to patient. It can occur before or after menstruation actually starts. Abnormal uterine bleeding can be classified in to following categories; Metrorrhagia, menorrhagia, menometrorrhagia, polymenorrhagia, amenorrhae, oligomenorrhae and etc. These divisions are made on the basis of the quantity of blood flowing and their time period. Abnormal uterine bleeding can occur at any age. The bleeding can be heavy during the periods or it can remain absent for months. But our main discussion over here is; emphasized on bleeding before or after the periods.

Causes
In many women abnormal uterine bleeding occurs due to hormonal imbalance. It can also be an affect of some injury which may have taken place during intercourse or other activities. Some times it can be due to some underlying cause such as infection. Small and large growths of polyps and fibroids can also result in abnormal uterine bleeding. Abortion can be a cause of abnormal uterine bleeding. Pregnancy can be another cause of abnormal uterine bleeding. A woman although does not menstruate during pregnancy but bleeding during pregnancy period is not rare. The reason for the abnormal bleeding during or otherwise pregnancy time is disturbance in hormone level of the body. Estrogen is responsible for bleeding and progesterone is responsible to control the bleeding. If the level of estrogen is increased, or the level of progesterone is decreased, abnormal uterine bleeding can be the out come. Birth control pills and stress also play a very important role in causing abnormal uterine bleeding. During stress and using birth control tablets, the hormone production of the body is disturbed which can result in abnormal uterine bleeding. Thyroid glands have their role in causing abnormal uterine bleeding as they can effect the hormone production in the body. Low production of thyroid hormones can create disturbance in balance of the other hormones in the blood and it can cause abnormal uterine bleeding. Uterine cancer or tumor can also be a cause.

Risk Factors

Pregnant women, especially during first three months.
Women suffering from uterine cancer.

Symptoms & Signs

Bleeding apart from periods.
Cold feet and hands.
The flow of bleeding becomes heavier than usual.
Headaches can be noticed as a symptom.
Forgetfulness.
Discomfort.
A person may find it difficult to concentrate on normal matters.

Diagnosis
There are several ways of diagnosing abnormal uterine bleeding. Urine pregnancy test, culture for sexually transmitted diseases, blood tests to determine level of thyroid and other constituents of blood and pelvic ultrasound can help in diagnosing the disease. Biopsy of endometrial layer can also be done in order to diagnose the disease correctly.

Prevention
There is no such external factor which can effect the hormone production in the body. That is why there is no prevention against it except, avoiding taking birth control pills which may cause imbalance in hormone level of the body.

Treatment
The treatment of the abnormal uterine bleeding depends on the cause. If there is hormonal imbalance than that should be treated in order to treat the abnormal bleeding. For this purpose we have hormone replacement theory. If the cause is cancer in endometrium, surgery is required to remove it.

Primary Natural Supplements
Herbs

Shepherd's purse

Vitamins

Vitamin A
Vitamin E
Vitamin C
Vitamin K
Chlorophyll

Quasi Vitamins

Boiflavonoids

Minerals

Iron

Other Natural Supplements

Essential fatty acids

Dietary Guidelines

Eat a well balanced and proper diet that can strengthen the immune system of the body.
Diet should include all vegetables, especially the green ones.
Concentrate on fresh fruit juices.
Eat chicken and fish but avoid red meat.
Include Soya beans in your day to day diet.
Avoid junk food.
Salt and caffeine are not good for health in such conditions, avoid using them.
Drink water frequently through out the day.

Home Care Suggestions
Use of hot water can decrease the pain or cramps. Eat well balanced diet. With the help of your doctor plan a good diet schedule.

Mind/Body Considerations
Avoid stress as it can become a cause of abnormal uterine bleeding. Take long walks if exercise is not possible daily. Maintain healthy life style of living.

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