Abstract
Background: Abnormal uterine bleeding (AUB) is a phenomenon which refers to menstrual bleeding of abnormal frequency, duration or quantity. It is a common gynaecological complaint caused by wide variety of organic or non-organic causes. The objective of the study was to determine the incidence of dysfunctional uterine bleeding with respect to aetiopathology, demographic variables, treatment options and other medical disorders.
 Methods: A retrospective study of randomly selected 70 cases of dysfunctional uterine bleeding admitted during October 2006 to September 2007, in the Dept. of Obstetrics and Gynaecology, in a tertiary care hospital named SSG Hospital at Vadodara. Only cases of AUB due to non-structural causes were included. Demographic details of each patient were recorded and analysed. Patients were evaluated with menstrual history, physical examination, laboratory tests and histological examinations. Patients were followed up from 3 to 8 months.
 Results: Most common age group presenting with DUB was 40–50 years and mostly belonged to low socioeconomic status. Most of the women were multiparous. Polymenorrhagia and menorrhagia was most common presentation. Size of uterus is normal in 44 patients. Dilatation and curratage was having the cure rate of 65.6% .Maximum number of patients (85%) was treated surgically and 15% got medical treatment.
 Conclusions: Dysfuntional uterine bleeding (DUB) now termed as Abnormal uterine bleeding (AUB) is a common gynaecological manifestation allied with considerable morbidity and significantly affects the patient's family, personal and social life. Perimenopausal women’s health and quality of life can be maintained and improved through preventive care, life style modification, early diagnosis of risk factor and appropriate treatment.
 
 Keywords
 
 Menorrhagia, Dysfunctional uterine bleeding,Abnormal uterine bleeding Perimenopausal women, Endometrium
Highlights
Dysfunctional uterine bleeding is defined as abnormal bleeding from the uterus in absence of organic disease of the genital tract
This study was conducted at SSG Hospital and different etiological factors along with different treatment modalities were studied during my residency at the time of this study
In present study 60(85.7%) were booked cases who were admitted from OPD and 10(14.3%) were unbooked cases who were admitted from emergency room and were managed subsequently
Summary
Dysfunctional uterine bleeding is defined as abnormal bleeding from the uterus in absence of organic disease of the genital tract. It implies disturbance in the menstrual cycle, regular or irregular and alteration in the amount or duration of menstrual loss. It is commonly accepted that 80ml per cycle is the upper limit of normal menstrual blood loss. Menorrhagia has multiple causes including systemic disorders like Hypothyroidism & chronic liver failure, clotting dysfunctions like Thrombocytopenia and congenital deficiencies, uterine causes include Fibroids, endometriosis, polyp, endometrial carcinoma and PID. There are iatrogenic causes like IUCD, progesterone oral or depot injections and anticoagulants like Warfarin. Primary menorrhagia known as DUB is diagnosed following exclusive of the earlier referred abnormalities
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