Dysfunctional Uterine Bleeding Diagnosis and Treatment


Dysfunctional uterine bleeding is an irregular menstrual flow that interferes with women’s social, physical, and psychological quality of life (Pitkin, 2007). The bleeding is a departure from the norm in the menstrual cycle. LaCour, Long, and Perlman (2010) observe that structural gynaecological abnormalities, systemic disorders, pregnancy, inflammation, complications in pregnancy or use of certain drugs do not cause dysfunctional uterine bleeding.

National Clinical Guidelines

The National Institute for Health and Care Excellence (NICE) has set out the clinical guidelines for dysfunctional uterine bleeding. The guidelines compel the physicians to note vital signs such as body-mass-index and signs of endocrine abnormality. The clinicians should take into account the history of the patients and variability in menstrual cycles during diagnosis (NICE, 2007). Then, laboratory tests such as full blood count should be carried out to rule out other diagnoses.

Signs and Symptoms

The major symptoms of dysfunctional uterine bleeding include heavy bleeding during the menstrual cycle, spotting, and irregular time changes between periods. The affected patients tend to bleed beyond the usual seven days. Sometimes, menstruation occurs in less than twenty-one days from the previous cycle (Pitkin, 2007). Other symptoms of dysfunctional uterine bleeding consist of heavy bleeding that passes large clots, excessive growth of the body hair, and dryness or tenderness of the vagina. The patients should consult medical professionals if they experience the aforementioned symptoms.

Risk Factors

Pregnancy is a major risk factor for dysfunctional uterine bleeding. This is especially in women aged below thirty years. Many women under thirty years experience abnormal menstrual flow in the initial months of conception. Pitkin (2007) argues that intrauterine devices cause hormonal imbalance that leads to irregular bleeding. Similarly, uterine cancer is a risk factor for dysfunctional uterine bleeding in women over forty years of age.

Differential Diagnosis

The differential diagnosis of dysfunctional uterine bleeding includes ultrasound, blood tests, and endometrial biopsy. Physicians recommend an ultrasound to diagnose abnormal vaginal bleeding. Essentially, ultrasound views the reproductive organs. The examination reveals whether fibroids, polyps, and any other abnormal growths are in the patient’s reproductive system (Casablanca, 2008). In addition, ultrasound is important in ruling out elements of internal bleeding. On the other hand, blood count measures the hormone levels, as well as a complete blood count. Pitkin (2007) asserts that the assessment of hormone level offers crucial information regarding the cause of bleeding. Similarly, a complete blood count gives the percentage of the red blood cells in the blood. Casablanca (2008) argues that endometrial biopsy tests uterine tissue, especially in cases of unusual thickening of the uterine lining.

Diagnostic Plan

The health care providers should recommend a transvaginal ultrasound, biopsy, and hysteroscopy to patients presenting signs of dysfunctional uterine bleeding. Biopsy examines the presence of infection and cancers. Casablanca (2008) contends that a biopsy assists health care providers to make decisions that relieve the physical and emotional burdens of the patients. Similarly, hysteroscopy is a significant procedure in managing dysfunctional uterine bleeding. Likewise, transvaginal ultrasound examines the problems that may be in the pelvis or the uterus.


Hormone therapy relieves the signs and symptoms of dysfunctional uterine bleeding. The therapy decreases the heavy menstrual flow and suppresses the abnormal thickening of the uterine lining. The prognosis is excellent after the young patients with dysfunctional uterine bleeding attain regular menstrual cycles (LaCour, Long, and Perlman, 2010). Similarly, the prognosis is superb in peri-menopausal patients, especially after the medical treatment.

Treatment Options

The management of dysfunctional uterine bleeding involves the administration of drugs. Women with the condition should be referred to secondary care only when the primary care fails. The insertion of the Levonorgestrel-releasing intrauterine system improves the menstrual flow and quality of life (Middleton et al, 2010). Similarly, healthcare providers administer oral contraceptives that repress endometrial development. For instance, mefenamic acid inhibits prostaglandin synthesis and reduces blood loss through excessive bleeding. Michelle (2011) argues that contraceptives decrease the flow of blood during menstruation and re-establish regular bleeding patterns. Likewise, the administration of oestrogen induces normal endometrial growth.

Role of Advanced Registered Nurse Practitioners

The Advanced Registered Nurse Practitioners (ARNPs) assist the patients to manage the physical, as well as psychological issues associated with dysfunctional uterine bleeding. Michelle (2011) argues that the nurse practitioner should educate patients on the significance of seeking social and emotional support from counselling and support groups. Thus, the nurse practitioner needs to know the available local support and counselling groups that can offer help to patients with dysfunctional uterine bleeding.

Educational Plan

In-depth patient education provides important information that patients need to know regarding dysfunctional uterine bleeding. The notable ways of educating patients include the use of medical publications. The distribution of the educational materials covering comprehensively critical issues on dysfunctional uterine bleeding will facilitate the dissemination of information to the target group of patients. The materials should give the health care providers and patients the current findings and management strategies for dysfunctional uterine bleeding.

Follow-up Guidelines

Persistent bleeding requires gynaecologic follow-up to ensure the patients live quality lives. The healthcare providers should examine the patients regularly. The examination endeavours to evaluate whether the bleeding patterns of the patients have improved to satisfactory levels. In addition, the follow-up determines whether the patients are progressing well with medications. In effect, the patients should be followed to regulate the menstrual flow even in cases where they use hormonal therapy.


Casablanca, Y. (2008). Management of dysfunctional uterine bleeding. Obstetrics and Gynaecology Clinics of North America, 35 (2), 219-234.

LaCour, D., Long, D., & Perlman, S. (2010). Dysfunctional uterine bleeding in adolescent females associated with endocrine causes and medical conditions. Journal of Paediatrics Adolescence Gynaecology, 23 (2), 62-70.

Michelle, T. (2011). Treatment options for Dysfunctional uterine bleeding. Nurse Practitioner, 36 (8), 14-20.

Middleton, L., et al (2010). Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine. British Medical Journal, 341, c3929.

National Institute for Health and Care Excellence (2007). Heavy menstrual bleeding. Web.

Pitkin, J. (2007). Dysfunctional uterine bleeding. British Medical Journal, 334 (7603), 1110-1111.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Paper much better compared to the one prior revision request. References need to be no more than the past 5 years.
Customer 452547, July 20th, 2021
Thank you so much for your attention to this assignment and timeliness.
Customer 453111, November 12th, 2022
Business and administrative studies
awesome job
Customer 453201, June 24th, 2022
I just need some minor alterations. Thanks.
Customer 452547, February 10th, 2021
Thank you. No issues
Customer 453139, April 17th, 2022
Business and administrative studies
Customer 453201, October 22nd, 2022
It was a very long paper, but she followed all the instructions, and she even finished the paper 5 days before the due date. Will write an essay with her again, thanks!
Customer 452967, November 27th, 2021
Received before the deadline. Great job!
Customer 453027, January 15th, 2022
Thank you
Customer 453087, March 5th, 2022
Thank youuuu
Customer 452729, May 30th, 2021
Business and administrative studies
Customer 453201, November 29th, 2022
Social Work and Human Services
Great work I would love to continue working with this writer thought out the 11 week course.
Customer 452667, May 30th, 2021
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp