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

Overview

Title

Management of Abnormal Uterine Bleeding Associated With Ovulatory Dysfunction

Authoring Organization

American College of Obstetricians and Gynecologists