Dysfunctional uterine bleeding (DUB) occurs most often before age 20 and after age 40.
Teen years. Some teens have times of irregular
vaginal bleeding. This usually gets better over time as hormone levels even out
and the menstrual cycle becomes more regular. If you need
treatment, your doctor may give you
hormones to help regulate your menstrual cycle. He or
she may also prescribe medicine to reduce bleeding.
Reproductive years. Some women in their 20s and 30s
have dysfunctional uterine bleeding. Sometimes it's because of abnormal changes in hormone
levels. And sometimes the reason is not known. If your doctor rules out serious
causes of vaginal bleeding, he or she may diagnose you with dysfunctional
uterine bleeding without knowing why it is happening. Your treatment depends on
whether you are planning to have children.
After age 40: Perimenopausal and menopausal years. After age 40, women tend to have changing hormone levels.
During this time before your period stops (perimenopause),
you may not always
ovulate. This can lead to irregular vaginal bleeding.
You can expect this bleeding to go away on its own when
menopause is complete. Your treatment options depend
on your childbearing plans and how much your symptoms affect your daily
life. Your doctor may recommend a wait-and-see approach, hormones, or a
No matter what your age, see your doctor
if you have irregular vaginal bleeding.