As relates to dysfunctional uterine bleeding (DUB), the nurse should be aware that:
a. It is most commonly caused by anovulation.
b. It most often occurs in middle age.
c. The diagnosis of DUB should be the first considered for abnormal menstrual bleeding.
d. The most effective medical treatment is steroids.
ANS: A
Anovulation may occur because of hypothalamic dysfunction or polycystic ovary syndrome. DUB most often occurs when the menstrual cycle is being established or when it draws to a close at menopause. A diagnosis of DUB is made only after all other causes of abnormal menstrual bleeding have been ruled out. The most effective medical treatment is oral or intravenous estrogen.
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