MANAGEMENT

OF
DUB
IN
REPRODUCTIVE
&
PERI

MENOPAUSAL
WOMEN

By D.MANOJ
 Reprodutive age group ( 20-39 years)

 Exclude pregnancy disturbances and

conditions like Fibroid uterus,
Endometriosis,PID,Functioning ovarian
tumour

 Dilatation & Curettage- 60% therapeutic

 Medical treatment
- Oral contraceptive pills
- NSAIDS-Mephenamic acid
-Anti-Fibrinolytics
-Hormones
Progestogens: Oral/Parenteral/

Intra-uterine devices
Danazol
DUB associated with infertility
1. Clomiphene
2. GnRH agonists
 OCP ANTI-FIBRINOLYTIC

PROGESTOGEN GnRH analogues

 Surgical Management
-Conservative:
MIS techniques like
Hysteroscopic endometrial ablation,
Non-hysteroscopic endometrial ablation
- Definitive:
Hysterectomy
 PERIMENOPAUSAL AGE GROUP
( > 40 YEARS)
 Exclude Malignancy
 Fractional curretage – Mandatory
 Hysterectomy- Treatment of choice
THANK
YOU…