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Dysfunctional Uterine Bleeding

Dr. Kusum Yadav

Dysfunctional Uterine Bleeding is the state of abnormal uterine bleeding without any clinically detectable organic pelvic pathology. Since in this condition, no known pathological changes are evident, the patients suffering from DUB respond excellently to homoeopathic treatment. Dysfunctional uterine bleeding can be treated with homoeopathic constitutional treatment which should be sought after for which consultation with a homoeopath is necessary.


Dysfunctional Uterine Bleeding is the state of abnormal uterine bleeding without any clinically detectable organic pelvic pathology. Since in this condition, no known pathological changes are evident, the patients suffering from DUB respond excellently to homoeopathic treatment.

DUB is caused due to the disturbed function of the cortico-hypothalama-pituitary-ovarian axis.

The hormones liberated from the hypothalamus, pituitary and ovary are dependent to one another.

Abnormal bleeding is most likely due to local causes in the endometrium (lining of the uterus) related to alteration in the ratio of endometrial prostaglandin which are delicately balanced in haemostasis of menstruation.

The condition is more prevalent in extremes of reproductive life-adolescence and pre-menopause or following childbirth and abortion.

Emotional influences, worries, anxieties or s*x**l problems sometimes are enough to disturb the normal hormonal balance.

Abnormal bleeding may be associated with or without ovulation and is accordingly known as ovular bleeding or anovular bleeding. Ovular abnormal uterine bleeding usually occurs after childbirth and abortion during adolescence, pre-menopausal period and in pelvic inflammatory diseases. The bleeding can be delayed, early or profuse or have increased duration. Profuse bleeding may be due to the irregular shedding of endometrium or poor formation and inadequate function of corpus luteum.

Anovular bleeding is usually excessive due to the absence of progesterone making the endometrium grow under the influence of oestrogen throughout the cycle. With the withdrawal of oestrogen due to negative feed back action of FSH (follicle stimulating hormone), the endometrial shedding continues for a longer period of time.

Dysfunctional uterine bleeding can also be caused be caused due to secondary causes such as haematological disorders or thyroid dysfunction. Other causes include IUCD or ora* *******tives, which induce structural changes in endometrial vessels which may lead to irregular bleeding.

A definite history is important for a proper diagnosis of DUB. Excessive bleeding is assessed by the number of pads used, passage of clots and duration of bleeding. Nature of menstrual abnormality-whether cyclic or acyclic should be noted. Patient should keep a record of he cycles for at least 2-3 months.

Any history of emotional upset, psychos*x**l problems, use of IUCD or ora* *******tives should be noted.

Hypothalamo-Pituitary-Ovarian Axis
A well-coordinated axis is formed called hypothalamo-pituitary-ovarian axis. The secretion of hormones from these glands is modified through feedback mechanism operating through this axis. Hormones liberated from the thyroid and adrenal glands may also modify the axis.

Homoeopathic Treatment
Dysfunctional uterine bleeding can be treated with homoeopathic constitutional treatment which should be sought after for which a complete analysis of the case is important.

The following homoeopathic remedies have been successfully tried in treating cases of DUB. But this should not be taken as a substitute for medical advice.

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