Dysfunctional uterine bleeding secondary prevention
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Secondary prevention occurs once the disease has developed and aims to prevent progression and development of further complications. Complications due to abnormal uterine bleeding include infertility, anemia, and malignancy.
Secondary prevention
DUB-based complications can be treated by:
- Infertility: treat the underlying cause; since medical treatment is often hormonal and would prevent fertility, surgical treatment is opted for. This includes removal of any structural masses preventing fertility[1]
- Anemia: supplemental iron treatment[2]
- Malignancy: prevent excess estrogen exposure with the use of hormonal contraceptive medications; avoid use of hormonal replacement therapy[3]
References
- ↑ Albers JR, Hull SK, Wesley RM (2004). "Abnormal uterine bleeding". Am Fam Physician. 69 (8): 1915–26. PMID 15117012.
- ↑ "StatPearls". 2022. PMID 28846348.
- ↑ Sjögren LL, Mørch LS, Løkkegaard E (2016). "Hormone replacement therapy and the risk of endometrial cancer: A systematic review". Maturitas. 91: 25–35. doi:10.1016/j.maturitas.2016.05.013. PMID 27451318.