Hormonal and Non-Hormonal Treatments

Dysfunctional uterine bleeding (DUB) is abnormal bleeding from the vagina that is due to changes in hormone levels and not pregnancy, medical conditions, miscarriage or other causes.

There are several symptoms for dysfunctional uterine bleeding including:

  • Bleeding or spotting from the vagina between periods
  • Periods that occur less than 28 days or more than 35 days apart
  • Time between periods changes each month
  • Bleeding that lasts for more than 7 days
  • Heavier bleeding (such as passing large clots, needing to change protection during the night, soaking through a sanitary pad or tampon every hour for 2 or 3 hours in a row)

Treatments for this problem are categorised into two groups; hormonal and non-hormonal.

  • Hormonal treatment will be considered for women with conditions that are listed below:
    • For young patients up to age 18 a low-dose combination birth control pills treatment is recommended.
    • High-dose estrogen therapy for women with heavy bleeding
    • Low dose birth control pills
    • Intrauterine device (IUD) that releases the hormone progestin
  • Non-hormonal treatment will be considered for women with severe symptoms and do not get better with other treatment methods. These non-hormonal treatments are:
    • A surgical procedure to destroy or remove the lining of the uterus
    • Hysterectomy to remove the uterus