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Sangrado uterino disfuncional (SUD) - Symptom

Nombres alternativos

Sangrado disfuncional del útero; Sangrado anovulatorio; SUD; Sangrado uterino anormal; Menorragia disfuncional; Polimenorrea disfuncional; Metrorragia disfuncional

Síntomas:

Los síntomas del sangrado uterino disfuncional anormal pueden ser:

  • Sangrado o manchado de la vagina entre períodos.
  • Períodos que ocurren con un intervalo de menos de 28 días (más común) o de más de 35 días.
  • El tiempo entre los períodos menstruales cambia cada mes.
  • Sangrado más abundante (expulsar coágulos grandes, necesidad cambiar la protección durante la noche, empapar una toalla sanitaria o un tampón cada hora durante dos a tres horas consecutivas).
  • Sangrado que dura más días de lo normal o durante más de 7 días.

Otros síntomas causados por cambios en los niveles hormonales pueden ser:

  • Crecimiento excesivo de vello corporal en un patrón masculino (hirsutismo)
  • Sofocos
  • Fluctuaciones en el estado anímico
  • Sensibilidad y resequedad de la vagina

Una mujer puede sentir cansancio o fatiga si está perdiendo demasiada sangre con el tiempo. Éste es un síntoma de anemia.

Pruebas y exámenes:

El médico llevará a cabo un examen pélvico y puede realizar una citología vaginal. Los exámenes que se pueden hacer abarcan:

El médico puede recomendar lo siguiente:

  • Una biopsia endometrial para buscar infección, precáncer o cáncer, o para ayudar a decidir sobre el tratamiento hormonal.
  • Una histeroscopia, realizada en el consultorio para ver dentro del útero a través de la vagina.
  • Una ecografía transvaginal para buscar problemas en el útero o la pelvis.
  • Reviewed last on: 7/25/2011
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine.

Referencias

Lobo RA. Abnormal uterine bleeding: Ovulatory and anovulatory dysfunctional uterine bleeding, management of acute and chronic excessive bleeding. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 37.

Kaunitz AM, Meredith S, Inki P, Kubba A, Sanchez-Ramos L. Levonorgestrel-releasing intrauterine system and endometrial ablation in heavy menstrual bleeding: a systematic review and meta-analysis. Obstet Gynecol. 2009;113:1104-1116.

Casablanca Y. Management of dysfunctional uterine bleeding. Obstet Gynecol Clin North Am. 2008;35:219-234.

Damlo S. ACOG guidelines on endometrial ablation. Am Fam Physician. 2008;77:545-549.

ACOG Practice Bulletin No. 110: noncontraceptive uses of hormonal contraceptives. Obstet Gynecol. 2010 Jan;115(1):206-18.

Middleton LJ, Champaneria R, Daniels JP, Bhattacharya S, Cooper KG, Hilken NH, et al. Hysterectomy, endometrial destruction, and levonorgestrel releasing intrauterine system (Mirena) for heavy menstrual bleeding: systematic review and meta-analysis of data from individual patients. BMJ. 2010 Aug 16;341:c3929. doi: 10.1136/bmj.c3929.

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