Which of the following condition is associated with dysfunctional uterine bleeding?
High-Yield Explanation
Metropathia haemorrhagica is a condition associated with cyclic endometrial hyperplasia and is the best documented type of dysfunctional uterine bleeding. In this, ovary is refractory to normal levels of pituitary gonadotropins, the follicles ripen but do not rupture and the endometrium become hyperplastic under persistent oestrogenic stimulation. Patient develop heavy painless hemorrhage after a variable duration of amenorrhea when the exuberant endometrium is shed as relative estrogen deficiency occur. Dysfunctional uterine bleeding is defined as: Abnormal vaginal bleeding not associated with any demonstrable pathology. Aeitiologic classification: Ovular: Functional epimenorrhea Ovulation Functional menorrhagia Anovular Metropathia haemorrhagica Threshold bleeding Ref: Gynaecology and Obstetrics By Balaram Jana page 43.