The diagnosis of Dysfunctional Uterine Bleeding is typically made as

The diagnosis of Dysfunctional Uterine Bleeding is typically made as

• A. Diagnosis of exclusion after workup shows no organic cause and negative pelvic exam
• B. Diagnosed by positive endometrial biopsy
• C. Diagnosed only when pregnancy is ruled out
• D. Requires MRI confirmation

Answer: (A)

Dysfunctional uterine bleeding is a diagnosis of exclusion. After a thorough workup rules out pregnancy and any organic causes of bleeding—such as structural lesions (fibroids, polyps), abnormal endometrium, or coagulopathies—and the pelvic exam is negative, the pattern of abnormal bleeding is considered dysfunctional. This is because the term describes bleeding that appears to be due to hormonal or ovulatory dysfunction rather than a visible anatomic or pathologic problem. A positive endometrial biopsy would indicate an endometrial pathology rather than functional (dysfunctional) bleeding, and MRI is not required unless there’s a suspicion of a lesion not detected by initial evaluation. In short, the diagnosis hinges on excluding other causes after a normal pelvic exam and workup.

Dysfunctional uterine bleeding is a diagnosis of exclusion. After a thorough workup rules out pregnancy and any organic causes of bleeding—such as structural lesions (fibroids, polyps), abnormal endometrium, or coagulopathies—and the pelvic exam is negative, the pattern of abnormal bleeding is considered dysfunctional. This is because the term describes bleeding that appears to be due to hormonal or ovulatory dysfunction rather than a visible anatomic or pathologic problem. A positive endometrial biopsy would indicate an endometrial pathology rather than functional (dysfunctional) bleeding, and MRI is not required unless there’s a suspicion of a lesion not detected by initial evaluation. In short, the diagnosis hinges on excluding other causes after a normal pelvic exam and workup.