DESCRIPTION  Dysfunctional uterine bleeding (DUB) is heavy or irregular menstrual bleeding that is not caused by an underlying anatomical abnormality, such as a fibroid, lesion, or tumor. DUB is the most common type of abnormal uterine bleeding. |
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HERBS OF CHOICE Herbs are often used in combinations when combating an illness. Some of the most frequently used herbs are listed below. These nine herbs were picked up from different herbal combinations and are not meant to form a recipe. Our reference code for the different combinations of herbs used for this condition is GDB. This listing is not meant to diagnose, only to inform. This is of course not a complete list and is not meant to be used in the place of a doctor's advice. Click the image of each herb for a brief introduction in terms of Traditional Chinese Medicine. |
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CLINICAL SUCCESS IN CHINA Chinese herbal doctors have reported some successful applications of these herbal combinations. During observation on 290 patients receiving treatment with herbal remedy, 286 cases were judged as healing (full recovery and symptom free). Physicians judged the clinical efficacy to be excellent in 98.6%. Check the table below for details. |
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Total cases |
Healing |
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290 |
286 |
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HERBAL REMEDY BEST FOR YOU The most powerful feature of Traditional Chinese Medicine is that it allows you to easily combine multiple ingredients to form a recipe to suit the specific need of individual. The list below are to give you an idea of why you can get the herbal remedy best for you from here with us. |
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Authoritative Oriented Recipes: All these well chosen herbal combinations source from experienced and authoritative experts, and have been most commonly recognized by the practitioners in this field. When you choose a herbal remedy there are two important things among your concerns: a good recipe and a correct way to cook it. A good recipe is half the good results. |
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Custom-made with Unique Technology: When you order a herbal remedy at this website you can figure out your symptoms by using our online questionnaire system. In this way a basic herbal recipe could be customized and optimized by adding or removing some herbs to address the individual symptoms exactly. Chinese herbs should not be used in form of standard industrial products manufactured in bulk to cope with all body issues. Only custom-made is the traditional and professional way to use Chinese herbs. All the herbal remedies available at this website are purposed to be custom-made on each single order base. With our unique technology called Low-temperature Concentration the active ingredients of herbs could be survival as much as possible while being concentrated. Eevery 8 ml of the extracts, as one dose, might equal to about 50 grams of raw herbs. |
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Safe and Side Effect Free: All these herbs have been being used in China for thousands of years, and have been proven to be safe. In fact most Chinese herbs are tonics without side effects. What important is that experienced practitioners should know how to use herbs to avoid possible side effects.
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Easy-to-Take Dosage Form: You do NOT need to cook these herbs at all. We get everything ready for you. The herbal remedy comes with the preparation in an easy-to-take dosage form, typically an oral dosage form namely Liquid Herbal Extracts created on a single order base. If necessary other dosage forms, such as pills, capsules, tablets, powder, tea bag, agar gel, rinse, lotion, spray, tincture, liniment, ointment, suppositories, etc., might be used depending on how to use the herbs correctly. And herbal remedy kit, consisting of two different herbal formulae typically one for oral administration and another for external use, is often used for the skin conditions. |
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Low-cost Customized Service: One month's supply of this custom-made herbal preparation created on a single order base costs US$199.95 only. It is the average duration to take the remedy for an effect recommended for most individuals with different responses. Shipping charges are not included in the purchase price and will depend upon the shipping method that you choose. Please read our Shipping Policy for details. No any other hidden fees. Click the button below to go to questionnaire and order this herbal remedy. |
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| There are two types of DUB: |
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Ovulatory: most common after the adolescent years and before the perimenopausal years, to as many as 10 % of ovulatory women. Menstrual irregularity associated with corpus luteum defects or midcycle staining is considered as subgroup of DUB, but anovulatory DUB is most widely accepted form of DUB.
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Anovulatory: Any disruption to the cyclic release of GnRH, FSH, LH can result in anovulation. Due to immaturity of the HPO axis in postmenarche, & decreased sensitivity of the ovary to gonadotropin stimulation in perimenopausal women. Most anovulatory DUB is due to estrogen withdrawal or estrogen breakthrough bleeding.
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Anovulatory uterine bleeding is a diagnosis of exclusion. This means that it is determined only AFTER other causes of abnormal uterine bleeding -- such as systemic diseases, medications, early pregnancy disorders, eating disorders, gynecological infections, structural anomalies, or tumors -- have been ruled out. |
Anovulatory cycles are common for the first year after menarche (when a girl begins to menstruate), and later in life as a woman approaches menopause (when menstrual periods stop). Approximately 20% of cases occur in adolescents and 40% in women over 40. Obesity, excessive exercise, and emotional stress may be risk factors for DUB. |
Anovulatory dysfunctional uterine bleeding has a known cause. But experts do not yet fully understand ovulatory dysfunctional uterine bleeding and what causes it. |
In ovulatory cycles, progesterone production from the corpus luteum converts estrogen primed proliferative endometrium to secretory endometrium, which sloughs predictably in a cyclic fashion if pregnancy does not occur. Heavy but regular uterine bleeding implies ovulatory bleeding and should not be diagnosed as DUB. Subtle disturbances in endometrial tissue mechanisms, other forms of uterine pathology, or systemic causes might be implicated. |
Anovulatory cycles are associated with a variety of bleeding manifestations. Estrogen withdrawal bleeding and estrogen breakthrough bleeding are the most common spontaneous patterns encountered in clinical practice. Iatrogenically induced anovulatory uterine bleeding might occur during treatment with oral contraceptives, progestin-only preparations, or postmenopausal steroid replacement therapy. |
- Estrogen breakthrough bleeding
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Anovulatory cycles have no corpus luteal formation. Progesterone is not produced. The endometrium continues to proliferate under the influence of unopposed estrogen.
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Eventually, this out-of-phase endometrium is shed in an irregular manner that might be prolonged and heavy. This pattern is known as estrogen breakthrough bleeding and occurs in the absence of estrogen decline.
- Estrogen withdrawal bleeding
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This frequently occurs in women approaching the end of reproductive life.
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In older women, the mean length of menstrual cycle is shortened significantly due to aberrant follicular recruitment, resulting in a shortened proliferative phase. Ovarian follicles in these women secrete less estradiol. Fluctuating estradiol levels might lead to insufficient endometrial proliferation with irregular menstrual shedding. This bleeding might be experienced as light, irregular spotting.
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Eventually, the duration of the luteal phase shortens, and, finally, ovulation stops. Dyssynchronous endometrial histology with irregular menstrual shedding and eventual amenorrhea result.
- Oral contraceptives, progestin-only preparations, or postmenopausal steroid replacement therapy
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Treatment with oral contraceptives, progestin-only preparations, or postmenopausal steroid replacement therapy might be associated with iatrogenically induced uterine bleeding.
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Progesterone breakthrough bleeding occurs in the presence of an unfavorably high ratio of progestin to estrogen.
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Intermittent bleeding of variable duration can occur with progestin-only oral contraceptives, depo-medroxyprogesterone, and depo-levonorgestrel.
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Progesterone withdrawal bleeding can occur if the endometrium initially has been primed with endogenous or exogenous estrogen, exposed to progestin, and then withdrawn from progestin. Such a pattern is seen in cyclic hormonal replacement therapy.
- Adolescents
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The primary defect in the anovulatory bleeding of adolescents is failure to mount an ovulatory luteinizing hormone (LH) surge in response to rising estradiol levels. Failure occurs secondary to delayed maturation of the hypothalamic-pituitary axis. Because a corpus luteum is not formed, progesterone levels remain low.
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The existing estrogen primed endometrium does not become secretory. Instead, the endometrium continues to proliferate under the influence of unopposed estrogen. Eventually, this out-of-phase endometrium is shed in an irregular manner that might be prolonged and heavy, such as that seen in estrogen breakthrough bleeding.
- Climacteric
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Anovulatory bleeding in menopausal transition is related to declining ovarian follicular function.
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Estradiol levels will vary with the quality and state of follicular recruitment and growth.
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Bleeding might be light or heavy depending on the individual cycle response.
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| SYNONYMS |
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SYMPTOMS |
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Vaginal bleeding between periods
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Menstrual periods, abnormal
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Variable menstrual cycles
- Usually less than 28 days between menstrual periods
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Variable menstrual flow ranging from scanty to profuse
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Infertility
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Mood swings
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Hot flashes
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Vaginal tenderness
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Hirsutism -- excessive growth of body hair (in a male pattern)
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