Management of Acute Abnormal Uterine Bleeding in Nonpregnant Women

Chronic abnormal uterine bleeding (AUB), a term that refers to menstrual bleeding of abnormal quantity, duration, or schedule, is a common gynecologic problem, occurring in approximately 10 to 35 percent of women. We report the outcome of the treatment. This is a prospective cohort study of 87 women aged 28-46 years who attended the outpatient gynecology department over the period 2013-2014 to the Obstetric Gynecologic University Hospital Queen Geraldine, in Tirana, Albania with complaint of heavy menstrual flow.66.7 % of patients had regular normal menses at 3 months follow up, 10 % had amenorrhea and 6 % were having regular scanty menses. Failure of medical management requires further investigation, including imaging or hysteroscopy. The choice of treatment of AUB is guided by the goals of therapy, which may be to stop acute bleeding, avoid future irregular or heavy bleeding, simultaneously provide contraception, and prevent complications, such as anemia, unnecessary surgical intervention, and diminished quality of life.