Dysfunctional Uterine Bleeding(DUB)


Overview

Dysfunctional uterine bleeding (DUB) is any bleeding from the vagina that varies from a woman's normal menstrual cycle. The normal cycle is triggered by signals from hormones. Dysfunctional uterine bleeding occurs when the cycle's hormonal signals get thrown off. It occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy.

Symptoms

  1. Irregular period (In a cycle periods occur less than 28 or more than 35 days)
  2. Bleeding or spotting from vagina between periods.
  3. Bleeding contains clot.
  4. Periods more than 7 days.
  5. Vaginal bleeding after sex.
  6. Heavy menstrual bleeding.
  7. Low blood pressure (signs).
  8. Dizziness.
  9. Fainting.

Causes

1. Consuming excess:

  • Fermented food like: Curd, Vinegar, Wine.
  • Pastry and sugary food.
  • Red or fatty meat.
  • Intake of oily and fat rich food.
  • Salt, sour, heavy, heat producing food.

2. Incompatible diet.

3. Miscarriage or abortion.

4. Unmindful eating causing indigestion.

5. Eating before the previous meal is digested.

6. Indulge in excess of the following activities:

  • Day sleeping
  • Trauma
  • Weight lifting
  • Emaciation or Weakness
  • Grief
  • Walking
  • Riding
  • Coitus

DUB is elaborated in ayurvedic texts as Asrigdhara. According to Ayurveda, there are three fundamental energies present in our body: Vata, Pitta, Kapha which should be in balance. DUB is caused mainly by vitiation of the Pitta Dosha with Rakta Dhatu (blood) and Vata. 

Treatment

Treatment protocol aims at :

  • Stop the bleeding and balance the hormones.
  • Provide strength and stamina to the whole body .
  • Maintaining normal menstrual cycles and relief from all types of menstrual abnormalities.
  • Rejuvenate the female reproductive system and  support the stressed mind due to DUB.

The first line of treatment should always be avoiding the causative factors. If the problem persists then consider the following treatment protocol: 

  • Irregular and long periods and heavy bleeding - Hormonal imbalance is the main causative factor for all types of menstrual abnormalities like irregular periods ,long periods,heavy bleeding and bleeding or spotting between periods also. Pushyanuga choorna, Nagakesara, Dhataki, Bolbaddha ras, Chandrakala, Lodhra, Ushira heals, regulate the circulation and hormones (Raktha stambhana and pitta shamak) It also tones up the uterine muscles.
  • Dizziness, fainting - Excessive blood loss lower blood pressure and cause dizziness and fainting if not controlled. Ksheerkakoli, Vasa, Shatavari, Chandraprabha vati  balance doshas and rejuvenate the female reproductive system and mental health. It also increases strength and immunity.

(The above mentioned Ayurvedic drugs are Herbs and Herbo-mineral preparations)

Other therapies - Virechana, Vasthi, Sarvanga abhyanga, Pichu, Avaghaha, Thakra dhara

Herbs

Pushyanuga choornam, Nagakesara, Dhataki, Bolbaddha ras, Chandrakala, Lodhra, Ushira, Vasa, ksheerkakoli, Chandraprabha vati, Shatavari

When to see a doctor?

If you notice any of these things, call your doctor. Bleeding in between periods or after sex also can be a sign of DUB. If your period stops for more than 3 months, ask your doctor about that, too. If you're not bleeding, the lining of the uterus can keep building up.


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