Management of Abnormal Uterine Bleeding Associated With Ovulatory Dysfunction
Publication Date: July 2, 2013
Last Updated: March 14, 2022
Recommendations and Conclusions
The following recommendations and conclusions are based on limited or inconsistent scientific evidence.
- The levonorgestrel IUD has been shown to be effective in treating AUB and should be considered for all age groups.
- Medical treatment options for AUB-O include progestin therapy and combined hormonal contraception.
- Women who have completed childbearing, in whom medical therapy has failed, or who have contraindications to medical therapy are candidates for hysterectomy without cervical preservation.
- Because AUB-O is an endocrinologic abnormality, the underlying disorder should be treated medically rather than surgically. Surgical therapy is rarely indicated for the treatment of AUB-O, unless medical therapy fails, is contraindicated, is not tolerated by the patient, or the patient has concomitant significant intracavitary lesions.
( B )574
Title
Management of Abnormal Uterine Bleeding Associated With Ovulatory Dysfunction
Authoring Organization
American College of Obstetricians and Gynecologists