These may be prescribed even if you are not sexually active. Your doctor may perform a pelvic ultrasound if he or she suspects you have a genital abnormality. Lack of regular ovulation leads to excessive thickening of the inner lining of your uterus, which can shed irregularly and cause excessive, prolonged or irregular bleeding. Before making a diagnosis of DUB, your doctor will need to check for other causes of abnormal vaginal bleeding. Your doctor will do a complete checkup, which may include a pelvic exam, and order certain lab tests.
Treatment is based on the problem.
For example, Chlamydia is treated with an antibiotic. Bleeding disorders may be treated with medications, including birth control pills, to restore normal blood clotting. If you haven't lost much blood and are not currently bleeding, your doctor may recommend that you take an iron supplement, keep a menstrual calendar and return in three to six months for re-evaluation. If you have lost a moderate amount of blood, an iron supplement is given and hormonal treatment is begun. Different medications may be used, including birth control pills.