Abstract:
To dysfunctional uterine bleeding is defined as abnormal uterine bleeding which is not due
to any organic or structural pathology. It is a diagnosis of exclusion, and is used only when
organic and structural causes for abnormal vaginal bleeding such as pregnancy, tumor,
infection, coagulopathy, and pelvic or systemic disease have been ruled out. Although the
diagnosis of DUB is made very commonly to date, this burden has not been systematically
studied and the impairment of social and psychological functioning in women affected by
DUB in Sri Lanka have not been evaluated or described. To describe socio-demographic
factors, physical and psychosocial symptoms and the modes of treatment employed in premenopausal women aged 40 years and above, diagnosed of Dysfunctional Uterine Bleeding
at gynaecology clinic and wards 3 and 4 of Castle Street Hospital for Women Colombo
(CSHW). Descriptive, cross sectional study conducted at the gynaecology clinic and wards
3 and 4 of Castle Street Hospital for Women Colombo (CSHW). Study Population -All the
clinic attendees and patients aged 40 years or above who were not menopaused, admitted to
ward 3 / 4 of Castle street Hospital, Colombo, with abnormal uterine bleeding were assessed
clinically, ultrasonically and through endometrial sampling(by dilatation and curettage) for a
structural or organic pathology. A pre-tested interviewer administered questionnaire which
consisted of two components, was used to collect data. DUB causes abnormal bleeding
which interferes with the womens' usual daily activities, such as self-care, work, or
recreation. Psychological morbidity due to DUB is more than the physical morbidity. 8.6
percent of patients with irregular cycles had secretory phase endometrium, which indicates
that they have ovulatory cycles. Thus cycle regularity is not a good predictor of ovulation.
