Dysfunctional uterine bleeding in women over 40 years of age

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Among women over 40 with dysfunctional uterine bleeding, a pathological uterine abnormality was found in 64% of those who underwent hysterectomy, with uterine cavity length and menstrual symptoms predicting outcome.

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Abstract

Two hundred patients aged 40 years or more who were discharged from hospital with a diagnosis of dysfunctional uterine bleeding were followed up for 6 years. Ninety-three patients eventually underwent hysterectomy and in 64% a pathological abnormality was noted in the uterus. The length of the uterine cavity and the presence of painful and/or heavy periods were the best predictors of outcome. Response to hormonal therapy was poor.

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Condition tags

endometriosis

MeSH descriptors

Uterine Hemorrhage Adult Contraceptives, Oral, Combined Contraceptives, Oral, Combined Curettage Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Middle Aged Norethindrone Norethindrone Retrospective Studies Uterine Hemorrhage Uterine Hemorrhage Uterine Neoplasms Uterine Neoplasms

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Source provenance

europepmc
last seen: 2026-08-16T09:21:09.727480+00:00
pubmed
last seen: 2026-05-13T22:09:50.790931+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine