AUB

The causes of AUB are divided into nine groups: uterine polyps, fibroids, adenomyosis, cancer, blood clotting disorders, problems with ovulation, endometrial problems, healthcare induced, and not yet classified.

Age >40 years

• Obesity
• PCOS
• Diabetes mellitus
• Nulliparity
• Early menarche or late menopause (>55 years of age)
  • Hypertension
  • Chronic anovulation or infertility

Diagnosis of AUB starts with a medical history and physical examination. Normal menstrual bleeding patterns vary from woman to woman, so the medical history covers specific details about the woman's individual menstrual bleeding pattern, such as its predictability, length, volume, and whether she experiences cramps or other pain.

Treatment depends on the underlying cause. Options may include hormonal birth control, gonadotropin-releasing hormone (GnRH) agonists, tranexamic acid, NSAIDs, and surgery such as endometrial ablation or hysterectomy