Welcome to HCM,
Causes of Dysfunctional uterine bleeding
are PCOD, hormonal imbalance, trauma, anovulatory cycle
, infection(cervicitis, endometritis
, vaginitis), uterine polyp/fibroid, P.I.D., cancer (of vagina, cervix, uterus, ovaries), certain drugs and bleeding disorder
Patients suffering with Poly cystic ovarian disease
have multiple small cysts in their ovaries.
Ovaries become enlarged and produce excessive amount of estrogen and androgen hormones.
Absence of ovulation causes infertility.
Many patients with PCOD also have insulin resistance
and have raised level of insulin.
These patients may not respond to clomiphen, thus treated with anti diabetic drugs like metformin and troglitazone.
Clomiphen is used to stimulate ovulation. Low doses of dexamethasone
can be given simultaneously to suppress androgen production from adrenal gland.
Detailed history, examination and investigations are required.
Thus you should consult a Gynecologist to establish a diagnosis and treatment.
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