Abstract:

Adolescents are prone to abnormal uterine bleeding. The most common cause of AUB in this age range is immaturity of the hypothalamus pituitary ovarian axis.2 As detailed in this chapter, several characteristics of underlying hereditary or acquired blood disorders increase the "anticipated" hormonal imbalance at this age, increasing the morbidity of the underlying condition. Despite the fact that blood problems can cause AUB, uterine structural and/or endocrine abnormalities are frequently missed when a blood disorder is present.5Haematologists and gynaecologists, as well as adolescent medicine specialists, must work together to treat a complex cause.  Main symptoms and/or important clinical findings: A 42 year old female was admitted in AVBRH in gynaec ward  Sawangi Meghe Wardha with chief complaint of abnormal uterine bleeding since 2 month, abdominal pain since 1 week, weakness. The main diagnoses, therapeutic interventions, and outcomes: After physical examination and investigation, this case was diagnosed having abnormal uterine bleeding since 2 month, abdominal pain since 1 week, weakness. Also she was provided calcium supplement and iron supplement. Present case was stable but blood investigation revealed sign of anemia. Nursing perspective: Fluid replacement i.e. DNS and RL, monitoring of vital signs per hourly. Conclusion: Dysfunctional bleeding is most common during the start and end of a woman's reproductive years, with 20% of instances occurring in adolescents and more than 50% in women over 45. The majority of abnormal uterine bleeding is of the dysfunctional type, however this diagnosis is only made after all other reasons have been ruled out. The most common cause of dysfunctional uterine haemorrhage is "uninterrupted" oestrogen levels, which cause uterine mucosa expansion.

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