The treatment of DUB in young women is:
A. Radiotherapy
B. Hormones
C. D&C
D. Hysterectomy
Correct Answer: B. Hormones
Explanation
Here is the correct and clear explanation:
Treatment of Dysfunctional Uterine Bleeding (DUB) in young women typically includes:
1. Hormonal Therapy (First-line treatment)
- Combined Oral Contraceptive Pills (OCPs)
Regulate cycles, reduce bleeding, correct anovulation. - Cyclic Progestins (e.g., medroxyprogesterone acetate for 10–14 days each month)
Useful for anovulatory cycles, common in adolescents. - Levonorgestrel Intrauterine System (LNG-IUS)
Reduces heavy bleeding (often used in adults, but can be considered).
2. Non-Hormonal Therapy
- NSAIDs (e.g., mefenamic acid, ibuprofen)
Reduce menstrual blood loss by 20–50%. - Tranexamic Acid
An antifibrinolytic that reduces bleeding effectively.
3. Correction of Contributing Factors
- Treat thyroid disorders, anemia, coagulation disorders (like von Willebrand disease).
- Dietary and lifestyle support.
4. Surgical Options (Rare in young women)
Used only if medical therapy fails:
- D&C (Dilation & Curettage) – temporary; mainly diagnostic.
- Endometrial ablation – not preferred in young women (affects fertility).
- Hysterectomy – never a first choice, very rare.
Best Answer (Most preferred for young women):
👉 Hormonal therapy (especially OCPs or cyclic progestins) is the treatment of choice for DUB in young women.
Other Options Details
Here is a clear and simple description of all the options:
A. Radiotherapy
Radiotherapy uses high-energy radiation (such as X-rays) to destroy abnormal or cancerous cells.
- Commonly used in cancers like cervical cancer, endometrial cancer, breast cancer.
- Can be external beam radiation or internal (brachytherapy).
- Works by damaging DNA of rapidly dividing cells.
B. Hormones
Hormonal therapy uses medications that modify hormone levels in the body.
- Used in conditions like endometrial hyperplasia, some breast cancers, infertility treatment, and menstrual disorders.
- Examples: progesterone therapy, estrogen therapy, GnRH analogs, and contraceptive pills.
C. D&C (Dilation and Curettage)
A minor surgical procedure where the cervix is dilated and the uterine lining is scraped or suctioned.
- Used for diagnosis (sampling endometrium).
- Also used to treat heavy bleeding, incomplete miscarriage, or remove retained products of conception.
D. Hysterectomy
Surgical removal of the uterus.
- Can be total (uterus + cervix) or subtotal (uterus only).
- May also involve removal of ovaries/tubes (depending on condition).
- Indications include fibroids, heavy bleeding, uterine cancer, prolapse, severe endometriosis.
I hope that you liked this article.
Thanks!! 🙏 😊
Writer: Vandita Singh, Lucknow (GS India Nursing Group