<unk>  <unk> , also known as atypical vaginal bleeding, is vaginal bleeding from the uterus that is<unk> ly frequent, lasts excessively long, is heavier than normal, or is irregular. The term dysfunctional<unk>  bleeding was used when no underlying cause was present. Vaginal bleeding during pregnancy is excluded. Iron deficiency anemia may occur and quality of life may be negatively affected. The underlying causes may include ovulation problems, fibroids, the lining of the uterus growing into the<unk>  wall,<unk>  polyps, underlying bleeding problems, side effects from birth control, or cancer. More than one category of causes may apply in an individual case. The first step in work-up is to rule out a tumor or pregnancy. Medical imaging or hysteroscopy may help with the diagnosis. Treatment depends on the underlying cause. Options may include hormonal birth control, gonadotropin-releasing hormone (GnRH) agonists, tranexamic acid, NSAIDs, and surgery such as endometrial ablation or hysterectomy. Over the course of a year, roughly 20% of reproductive-aged women self-report at least one symptom of<unk> .
Abnormal uterine bleeding
Ectopic pregnancy
Vaginal bleeding
Obstetrical bleeding
Vaginal discharge
Heavy menstrual bleeding
Intermenstrual bleeding
Postpartum bleeding