Abnormal Uterine Bleeding and Issues Research

Abnormal Uterine Bleeding and Issues

Reproductive Tract Diseases for human females are typically focused in the upper reproductive tract or the lower reproductive tract. The upper tract includes the fallopian tubes, ovary and uterus, while the lower reproductive tract focuses on the vagina, cervix and vulva. There are three major types of infections: endogenous, iatrogenic and sexually transmitted diseases. Endogenous diseases arise from internal cellular structures and may be bacterial, viral or genetic, usually the most common and arise from an overgrowth of organisms that are already present in the vagina; iatrogenic diseases are the result of medical or surgical treatment, and sexually transmitted diseases occur between humans as a result of sexual behavior. In addition to infections, there are congenital abnormalities, cancers and functional problems. Each infection has its own specific cause and symptoms; caused by bacteria, virus, fungi or other organisms. Indeed, some are easily treatable and cured, others are more difficult, and some are non-curable at this time (e.g. Herpes and HIV) (Population Council, 2012).

Don't use plagiarized sources. Get Your Custom Essay on
Abnormal Uterine Bleeding and Issues Research
Just from $13/Page
Order Essay

Cancers of the reproductive system may include breast, ovarian, uterine or cervical. Congenital abnormalities of the female reproductive system are varied, and functional problems may interfere with reproduction or urination or cause low or heightened states of sexual desire. Many of these non-genetic issues arise upon puberty, and many are serious enough to affect the ability to reproduce. Most recently, doctors have seen an increase in disruptions of the endocrine system, causing the development of the reproductive system to fail or become damaged. This is often the results of increased lead, dioxins, pesticides or other toxic materials in the environment. These chemicals and toxins are also known to have an effect upon puberty development, early onset menses, or other issues that cause abnormalities in the reproductive system (Safer Chemicals Coalition, 2012).

Reproductive Tract Infections are recognized as public health problems globally, and rank second as the cause of a loss of life or health among women of reproductive age in many developing countries. If left untreated, many of these infections have the potential to cause infertility, ectopic pregnancy, cervical cancer, menstrual disturbances, and pregnancy loss or low-birth weight off spring. The presence of these infections, particularly the ulcer causing infections, also promote the acquisition and transmission of HIV (Rabiu, K., et al., 2010).

Abnormal Uterine Bleeding Overview — Abnormal or dysfunctional uterine bleeding (DUB) is an excess of bleeding based in the uterus without demonstrable structural or organic pathology. Usually, it is due to hormonal disturbances, reduced levels of prostaglandins or progesterone, and is typically classified as ovulatory or an ovulatory depending on whether ovulation is occurring. Some scholarly sources indicate that most cases of DUB have some sort of a hormonal mechanism attached to the issue (Fraser, I., et al., 2011).

Roughly, 10% of DUB cases occur in women who are ovulating, yet progesterone secretion is prolonged and robust because estrogen levels are low. This combination of chemical imbalance causes an irregular shedding of the uterine lining and then resultant break-through bleeding. Additional evidence shows that ovulatory DUB may result with women who have more fragile uterine blood vessels. In addition, ovulatory DUB may indicate some sort of endocrine dysfunction that causes menorrhagia or metorrhagia. Menorrhagia is a heavy and prolonged menstrual period at regular intervals, typically caused by abnormal blood clotting or issues with the uterine lining, often resulting in painful menses (dysmenorrhea). Metorrhagia is uterine bleeding at irregular intervals, often between expected menstrual periods (Azim, P., et al., 2011).

Mid-cycle bleeding or the quantity and quality of associated bleeding or pain may also indicate a decline in estrogen, while late-cycle bleeding also may indicate progesterone deficiencies. Often, it is difficult to find exact pathology for this type of DUB, and diagnosis may be the result of eliminating variables and the frequency of DUB on the patient (Khosla, S., et al., 2011).

About 90% of DUB events occur outside of the ovulation period. Anovulatory menstrual cycles are common at the extremes of reproductive age — early puberty and perimenopause. In these cases, the patient does not develop and release a mature egg, and the corpus luteum, the mound of tissue that produces progesterone, does not form. This results in estrogen being conti8nually produced, causing an unnatural overgrowth of the uterine lining. The heavy growth causes menstruation that is prolonged and heavy, and may also be accompanied by excessive pain and cramping (Gray, 2013).

There are a number of causes of anovluatory DUB: stress, psychological issues, obesity, anorexia, exercise, drugs or other issues. Like other DUB issues, it is often quite difficult to accurately assess the causes of the affliction. Besides a thorough medical history, it is often wise to order lab tests that assess hemoglobin levels, luteinzining hormones, prolactin, T3=4 hormones (TSH), a pregnancy test and an androgen profile. Ultrasounds or endometrial sampling may be indicted depending on the severity of the issue (Sweet, 2012).

Iatrogenic Causes- These causes occur when the infection from a bacterium or other organism is introduced into the reproductive tract through a medical procedure such as menstrual regulation, induced abortion, or an IUD. Many times this happens if a surgical instrument was not properly sterilized. This may also occur if there is an infection already present in the lower reproductive tract and pushed through the cervix into the upper tract (Fraser, I., et al., 2011).

Systemic Disease — Systemic diseases that may cause DUB include hypothyroidism, cirrhosis or coagulation disorders. Subclinical hypothyroidism must be first confirmed by lab tests and generally manifests with fewer or milder symptoms of actual hypothyroidism. These may include fatigue, and intolerance for cold, unusual and consistent weight gain, some memory issues and depression. Clinical results often show a slightly high TSH (thyroid-stimulating hormone) level as well as a normal or slightly low thyroxine (T4) level. Upwards of 20% of women over the age of 60 have subclinical hyperthyroidism and 2-5% of those with the condition develop a gradual loss of thyroid gland function and true hypothyroidism annually. Many studies show that those with subclinical hypothyroidism are at greater risk for coronary failure. However, many of these studies show conflicting results with larger population cohorts; likely due to differences in demographics (age, gender, TSH levels, pre-existing conditions) or lifestyle issues (Rodondi, N., et al., 2010).

Cirrhosis is the result of chronic liver disease in which liver tissue is replaced by care tissue of fibrosis. The most common causes of cirrhosis are alcoholism, hepatitis B and C, and fatty liver disease. Symptoms include: 1) Ascites — Fluid retention in the abdominal cavity, one of the most common complications. Causes risk of infection and poor quality of life; 2) Jaundice — yellowing of the skin, mucus membranes or the eyes caused by an overproduction of bilirubin in the blood due to partial liver shutdown; 3) Liver Encephalopathy — confusion, altered levels of consciousness and psychotic episodes, even coma, as a result of liver failure and toxin buildup 4) Abnormal Nerve Function — nerve endings fire uncontrollably or are painful 5) Portal Hypertension — high blood pressure in the portal vein that delivers blood to the liver. The imbalance of blood factors based on hepatic issues then tends to increase abnormal bleeding in the uterine tissues (Wang, L., et al., 2011).

Coagulation issues including blood clotting, thin blood, or Von Willebrand disease are actually more common than many believe. VWD is a hereditary coagulation abnormality in humans, but can also manifest and develop through a number of other conditions. The results are either a qualitative or quantitative deficiencies of the von Willebrand factor, which is a protein required for the blood platelets to adhere to one another. There are actually three forms; inherited, acquired and platelet. In women, symptoms range from mild nosebleeds to heavy menstruation, For women with moderate or chronic coagulation issues, most estrogen-containing oral contraceptives are effective in reducing both frequency and duration of the menstrual periods (Davidson, B., et al., 2012).

Vaginitis is one of the most common lower reproductive tract infections; most commonly caused by infections like candida, bacteria, or other bacteria. It is both treatable and less serious than other infections, but has the potential of migrating up the reproductive tract and causing more serious infections. Cervical infection is caused by a variety of pathogens, especially STDs like gonorrhea and chlamydia. These are more severe than vaginitis because they usually reside in the upper reproductive tract and are more difficult to diagnose and treat since they are often asymptomatic (Population Council, 2012).

Works Cited

Azim, P., et al. (2011). Evaluation of Abnormal Uterine Bleeding. Isra Medical Journal, 3(3). Retrieved November 2013, from

Davidson, B., et al. (2012). Abnormal Uterine Bleeding During the Reproductive Years. Journal of Midwifery and Women’s Health, 57(3), 248-54.

Fraser, I., et al. (2011). The FIGO Recommendations on Terminologies and Definitions for Normal and Abnormal Uterine Bleeding. Seminars in Reproductive Medicine, 29(5), 383-90.

Gray, S. (2013). Menstural Disorders. Pediatrics in Review, 34(1), 6-18.

Khosla, S., et al. (2011). The unitary model for estrogen deficiency. Journal of the Bone and Mineral Research, 26(3), 441-51.

Population Council. (2012, July). Reproductive Tract Infections: An Introductory Overview. Retrieved from popcouncil.org: http://www.popcouncil.org/pdfs/RTIFacsheetsRev.pdf

Rabiu, K., et al. (2010). Female Reproductive Tract Infections. BMC Women’s Health, 10(8). doi:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851660/?report=reader#__ffn_sectitle

Rodondi, N., et al. (2010). Subclinical Hypothyroidism and the Risk of Coronary Heart Disease and Mortality. Journal of the American Medicial Association, 304(12), 1365-74. doi:10.1001/jama.2010.1361

Safer Chemicals Coalition. (2012, October). Reproductive Health and Fertility Problems. Retrieved from healthreport.saferchecmicals.org: http://healthreport.saferchemicals.org/reproductive.html

Sweet, M. e. (2012). Evaluation and Management of Abnormal Uterine Bleeding in Premenopausal Women. Journal of the American Academy of Family Physicians, 85(1), 35-42. Retrieved November 2013, from http://drkney.com/pdfs/vagbleed_010112.pdf

Wang, L., et al. (2011). The Diagnosis and Treatment of Abnormal Uterine Bleeding in Nonpregnant Patients with Hepatic Cirrhosis. European Pub Med Central, 19(1), 52-4. Retrieved November 2013, from http://europepmc.org/abstract/MED/21272460/reload=0;jsessionid=BgHP6IKlqmk4nm0rQwZJ.52

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality

All samples
Thesis/Thesis chapter
Research paper
Essay (any type)
creating a Code of Conduct
View this sample
Research paper
Week 1 Journal Assignment
Undergrad. (yrs 3-4)
Human Resources Management (HRM)
View this sample
Research paper
Cultural Intelligence Presentation
View this sample
Research paper
Communicable Disease
View this sample
Research paper
Mental health
View this sample
Essay (any type)
Personalized Glossary of Research and Assessment Terms
View this sample

It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now