Social Science Research Network (SSRN) Elsevier
Journal: Published on April, 2023
Dysfunctional
uterine bleeding (DUB) is defined as bleeding from the uterine corpus that is
abnormal in regularity, volume, frequency, or duration and occurs in the
absence of pregnancy.
Dysfunctional
Uterine Bleeding (DUB) is defined as abnormal uterine blood loss in the absence
of organic genital tract disease. It refers to any variation in uterine
bleeding, including menstrual cycle disturbances, rhythmic and non-rhythmic
uterine bleeding, and revision in the amount or duration of menstruation loss.
However,
it tends to most generally refer to excessive normal menstrual bleeding or
vital menorrhagia.
TAKE HOME MESSAGE
Methylprogesterone
(MPA) and Norethisterone (NE) are a sort of female hormone (progestin).
The
two drugs are given in different doses, duration, and frequencies, NE (5mg × 25
days ie; 2 stat, 1-1-1 × 3 days, 1-0-1 × 21 days) and MPA (10mg × 21 days,
1-0-1).
The
majority of patients respond favorably to medical treatment. Norethisterone and
Medroxyprogesterone are both effective in treating these cases.
DUB
was more frequent in women over the age of 35, due to a rise in uterine mean
volume. DUB is most common in women with a high BMI (25-29.9-overweight), and
it is affected by delayed endometrial repair.
Norethisterone has a much stronger effect, as per this study. Thus, Norethisterone was discovered to be more effective than Medroxyprogesterone in lowering menstrual loss. Neither drug has any significant side effects or complications.
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