Dysfunctional Uterine Bleeding - Topic Overview
You have dysfunctional
uterine bleeding if, after testing, your doctor finds no other diseases or
conditions that are causing your symptoms.
How is it treated?
There are many things you can
do to treat dysfunctional uterine bleeding. Some are meant to return the
menstrual cycle to normal. Others are used to reduce bleeding or to stop
monthly periods. Each treatment works for some women but not others. Treatments
- Hormones, such as a progestin pill or daily
birth control pill (progestin and estrogen). These hormones help control the
menstrual cycle and reduce bleeding and cramping.
- A short course of high-dose
estrogen. Estrogen is a hormone that is often used to
stop dangerously heavy bleeding.
- Use of the levonorgestrel IUD, which releases a progesterone-like hormone into
the uterus. This reduces bleeding while preventing pregnancy.
- Rarely used medicines that stop estrogen production and
menstruation, such as gonadotropin-releasing hormones. These drugs can cause
severe side effects but are used in special cases.
- Surgery, such
endometrial ablation or
hysterectomy, when other treatments do not work.
If you also have menstrual pain or heavy bleeding, you
can take regular doses of a nonsteroidal anti-inflammatory drug (NSAID), such
In some cases, doctors use
watchful waiting, or a wait-and-see approach. It may
be okay for a teen or for a woman nearing
menopause. Some teens have times of irregular vaginal
bleeding. This usually gets better over time as hormone levels even out. Women
in menopause can expect their periods to stop. They may choose to wait and see
if this happens before they try other treatments.
Frequently Asked Questions