The term dysfunctional uterine bleeding is used when there is heavy or irregular vaginal bleeding and where uterus, ovaries and fallopian tubes are found to be structurally and organically normal on bimanual examination. DUB occurs most commonly at the beginning and at the end of the reproductive years-shortly after the onset of menstrual cycle in an adolescent girl, when the hypothalamic ovarian axis is depressed because of low estrogen output.
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