OVERVIEW
Dysfunctional uterine bleeding also known as abnormal uterine bleeding is a broad term that explains a series of irregularities that occur in the menstrual cycle. It is also called as anovulatory bleeding because it generally happens due to other causes than normal menstruation.
In AUB, there may be differences that occur in the frequency, regularity, duration and volume of blood flow. This usually happens when there is huge variation in the hormones which results in heavy longer cycles or unpredictable short cycles. It is very like for one third of the women to experience irregularities in the bleeding commonly during menarche and perimenopause.
Abnormal uterine bleeding are of 2 categories – acute and chronic. Acute AUB is characterized with excessive bleeding which requires immediate medical care to prevent the blood loss. Chronic DUB refers to the irregularities in menstrual bleeding for previous 6 months.

CAUSES
The major causes involved in DUB are –
• Polyps
• Adenomyosis
• Leiomyoma
• Malignancy and hyperplasia
• Coagulopathy
• Ovulatory dysfunction
• Endometrial disorders
• Iatrogenic
One or more of these symptoms together leads to abnormal vaginal bleeding. The structural problems related to endometrial polyps, cervical polyps may be asymptomatic with no bleeding.

Other factors that may cause DUB are
• Abnormalities in thyroid functions
• Elevated levels of prolactin hormones
• Long term Medications
• Strenuous exercise or weight loss
• Obesity
• Stress or illness
• During the time of menarche and menopause

SYMPTOMS
Dysfunctional uterine bleeding symptoms include –
• Heavy and Irregular menstrual bleeding
• Bleeding that occurs with large clots
• Vaginal bleeding lasts for more than 7 days
• Vaginal bleeding which occurs less than 21 days from last menstruation.
• Spotting from vagina
• Irregular patterns of bleeding between the vagina
• Other symptoms like tenderness in the breasts, bloating, pelvic pain and pressure can also be present in most of the cases.
• If the symptoms like dizziness, fainting, weakness, low blood pressure, increased heart rate, pale skin, or changing pads in every single hour needs immediate medical care.

AYURVEDIC VIEW
In Ayurveda classics, the menstrual disorders are explained under the Arthava dushtis. Acharya charaka has explained various causes that leads to arthava dushti. Due to these etiological factors, the rakta increases in quantity and reaches the garbhashaya through the rajovaha srothas. The vitiated vata dosha expels the raktha in the form of raja.
Acharya Sushrutha, opines the same and adds symptoms of body ache and pain along with bleeding per vagina. He mentions, asrigdhara if not treated properly may lead to other complications like dourbalya, bhrama, murcha, tama, daha, pralapa, panduta, tandra and akshepaka vata roga. Treatments that manages vitiated pitta and rakta is to be adopted.

DIET
Eat a balanced diet that is high iron and Vitamin C in it.
• Green, leafy vegetables: They have the most nutrients per calorie than any other vegetables. These are rich sources of Iron, calcium, potassium, and magnesium, as well as vitamins K, C, E, and many of the B complex vitamins. Vitamin B plays a great role in treating Dysfunctional Uterine Bleeding issues.

• Fruits: Rich sources of fiber, vitamins and minerals takes care of managing Dysfunctional Uterine Bleeding.

• Colorful Vegetables: Brightly colored vegetables are rich in carotenoids which improves the Iron content in the blood. Bell peppers, pumpkin, carrots, artichokes and purple cabbage are rich sources of anti-oxidants and must be included in your diet.

• Healthy Fats: Healthy fats in nuts and seeds, oily fish, and olive oil are suitable options to take in daily diet