Abstract
Many women are suffering from dysfunctional uterine bleeding (DUB). DUB is defined as a state of abnormal uterine bleeding without any clinically detectable organic, systemic, and iatrogenic causes (pelvic pathology e.g. tumour, inflammation or pregnancy is excluded). The prevalence varies widely but an incidence of 10% amongst new patients attending the outpatient seems logical. As the diagnose is based with exclusion of “organic lesion”, so with the care and facilities to exclude such a lesion, the incidence varies. Currently DUB is defined as a state of abnormal uterine bleeding following anovulation due to dysfunction of hypothalamus-pitutary-ovarian axis (endocrine origine).[1] Abnormal menstrual bleeding pattern have been traditionally expressed by terms like menorrhagia, metrorrhagia, polymenorrhea, and oligomenorrhea. In order to create a universally accepted nomenclature to describe abnormal uterine bleeding, International federation of gynecology and obstetrics (FIGO) and American college of obstetrician and Gynecologists (ACOG) introduce newer system of terminology to describe AUB.
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