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September 13, 1965

Menstrual Problems: Dysfunctional Uterine Bleeding

Author Affiliations

From the Northwestern University Medical School, Chicago.

JAMA. 1965;193(11):950-952. doi:10.1001/jama.1965.03090110088021

Many problems arise in association with menstruation. The flow may be abnormal in periodicity, duration, or amount. The flow may be decreased (oligomenorrhea or amenorrhea) or increased (polymenorrhea, hypermenorrhea, or intermenstrual bleeding). Pain of varying degrees, associated with either a normal or an abnormal menstrual pattern, may be present at various times. There may be premenstrual tension or even emotional disturbances at or near the time of menstruation. And it must not be forgotten that the fertility of the individual may be related to the menstrual pattern.

Of these many problems of menstruation, one will be considered at present, that of dysfunctional uterine bleeding. As Brewer1 has so aptly stated, the term dysfunctional uterine bleeding is as difficult to define as the bleeding is to cure. Yet a definition is in order.

Dysfunctional uterine bleeding refers to abnormal bleeding, for which a cause cannot be found, which occurs during