Abnormal uterine bleeding in a woman without no any cause is termed as Dysfunctional uterine bleeding (DUB). Abnormal Uterine Bleeding is a condition where there is irregular bleeding from the uterus. Bleeding is heavier or lighter than normal and is for a longer duration and is a cause of much discomfort. It can occur at any time of a woman’s monthly cycle and even during the normal menstrual period. However, Abnormal Uterine Bleeding does not occur during pregnancy. Bleeding occurs during pregnancy due to other reasons.
One of the symptoms of this disorder can be bleeding from the vagina in between periods. Abnormal Uterine Bleeding can also result in extremely heavy bleeding during periods. If extreme bleeding occurs for more than 7 days during periods or otherwise, the condition is known as menorrhagia. AUB can be caused by polyps or fibroids, which are irregular growths in the uterus. Some other causes of AUB may include thyroid problems or a cancer of the uterus, an infection in the uterus. Another reason for abnormal uterine bleeding is hormonal imbalance.
When abnormal bleeding occurs due to hormonal imbalance, the condition is called dysfunctional uterine bleedingTeens and women who are approaching menopause are susceptible to dysfunctional uterine bleeding. Treatment for Abnormal Uterine Bleeding depends on age, the cause of the bleeding and whether or not you want to become pregnant in the future.
Symptoms of dysfunctional uterine bleeding
The following symptoms indicate dysfunctional uterine bleeding:
- Soaking of one or more sanitary pads
- There is a need to use double sanitary protection to control menstrual flow.
- Need to wake up during night to change hygiene protection
- Bleeding for more than a week
- More than a quarter are passing blood clots
- Symptoms of anemia
- Shortness of breath
- It is possible that dysfunctional uterine bleeding does not show any physical symptoms and is still present in a patient.
Common causes of dysfunctional uterine bleeding
The following are the most common causes of dysfunctional uterine bleeding:
- Excessing Fasting for a very long period of time which increases vata and pitta doshas. Both the doshas are related to menorrhagia.
- Sexual indulgence in excess also leads to increase in vata dosha.
- Intake of spicies in the food leads to pitta dosha increase and causes heavy menstruation.
- Stress and anxiety also cause this problem.
- Intake of food including deep penetrative nature like asafetida, mustard, garlic etc. and heavy exercise also cause heavy bleeding.
- Hormone imbalance
- Effect of ovulation
- Uterine fibroids
- Intrauterine device (IUD)
The following are the less common causes of dysfunctional uterine bleeding:
- Pregnancy complications
- Inherited bleeding disorder
Risk factors of dysfunctional uterine bleeding
The following factors may increase the likelihood of dysfunctional uterine bleeding:
- Reproductive age women
- uterine cancer
- bleeding disorders
- Liver or kidney disease
- Prevention of dysfunctional uterine bleeding
- Yes, it is possible to stop dysfunctional uterine bleeding Prevention can be possible by doing the following:
- Using oral contraceptives
The most dysfunctional uterine bleeding occurs in the following age groups:
Aged between 20-35 years
Dysfunctional uterine bleeding is most common in the following sexes: Female
Laboratory tests and procedures for diagnosis of dysfunctional uterine bleeding
The following laboratory tests and procedures are used to detect dysfunctional uterine bleeding:
- Blood tests: assessing for iron deficiency (anemia)
- T3 test: to check for thyroid disorders
- D-dimer test: to check for blood-clotting abnormalities
- Pap test: For uterine infection, inflammation or changes
- Endometrial biopsy: to check the position of the cell from inside the uterus
- Ultrasound: to produce images of the uterus, ovaries, and pelvis
- Doctor for diagnosis of dysfunctional uterine bleeding
AYURVEDIC VIEW IN DUB
In ayurvedic text, DUB is elaborated as Asrigdhara. It is caused mainly by vitiation of pitta dosha with vata and raksha dhatu. There are various treatment processes in ayurveda for DUB like Internal treatment with medicines, external treatment, Panchakarma, positive lifestyle, proper diet and many more.
The word Asrigdara explains about prolonged, cyclic or acyclic excessive menstrual bleeding in Ayurveda. Acharya Susruta added that it may occur as intermenstrual bleeding also.
According to Charaka, the women who excessively consumes salty (lavana), sour (amla), heavy (guru), pungent (katu), unctuous (snigdha) food, meat of domestic, aquatic and fatty animals, wine (madya), whey(mastu) etc. are prone to vitiation of vata and rakta .Thus, Rakta increases in its quantity (pramana) and reaches the garbhashaya through the rajo vaha srotas. The vitiated vata expels out the vitiated rakta in the form of raja. Here the condition is characterised with excessive bleeding
1.Femine care tablet
It is a pure and natural remedy that contains various herbs extract that works on the female reproductive system and make it healthy. These tablets show antioxidant properties, anti-inflammatory and immuno modulater properties. It contains Ghritkumari , Muramakki, Sonth. It works in various diseases like pcod, bulky uterus, endometriosis, general female health, irregular menses, and uterine fibroids. It affects on Tridosha- balances Vata and Kapha.
DOSE – 1-2 tablets two times a day or as directed by physician.
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This is the mixture of all herbal medicines which are beneficial in the treatment of leucoderma. The mixture contains ingredients like- Moti pishti, Parwal pishti, Giloy satva, Jahar mohra, Akik pishti, Gandhak rasayan, Tal sindoor, etc. These ingredients balance all the Tridosha. It brings the cooling effect and useful in the inflamed parts of the body.
Recommended Dosage – Take 1 sachet twice a day with normal water.
3.Pitta balance tablet
Pitta doshas is responsible for digestion, metabolism, blood quality, thirst, appetite, eyesight, skin color and quality, body temperature, and mental abilities of intelligence and courage. Pitta doshas is composed of a fire element that digests almost everything that a person eats or drink. The eaten food is transformed into energy for the body to use in various functions of the body.
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DOSAGE: 2 Teaspoon twice daily after meals.
Home Remedies for Dysfunctional Uterine Bleeding
- Use of saffron added in your diet gives you a great relief in DUB.
- Bark powder of Asoka tree with milk also provides a good result.
- Nagakesara ( Messua FerraStamens) and Usheera ( Vittiver zizanoides root) are taken into fine powder with butter and sugar candy. This relieves you even in severe menorrhagia.
- The medicated paste of Lajjalu (Touch me not plant) with tandaulodaka (rice washed water) or fresh juice of Doorva (cynodon dactylon) are also there to cure the problem of Rakta Pradara.
- Use of raisins in the diet helps in balancing pitta and reduces bleeding during periods.
- Any bleeding disorder can make the patient worried and panic and causes her health to deteriorate further. So, you need to consult your doctor only in the initial stage which helps to a great extent.
Preventions for Dysfunctional Uterine Bleeding
Basically Dysfunctional Uterine Bleeding is the result of unpredictable hormonal changes.
- First of all reduce your weight as it helps prevent irregular menstrual bleeding.
- Irregular menstrual bleeding can cause a low level of iron in blood which is anemia. So, increase the amount of iron in your diet.
Dr. Vaidya Karanvir Singh is the younger Vaidya in Chandigarh Ayurved & Panchakarma Centre. He is the fourth generation in his family who is practicing as a general consultant in Ayurved & Panchakarma treatment at Chandigarh. In his practice, he had treated more than 1 Lakh Plus patients worldwide.