![]() ![]() Occasional sharp pains in the lower abdomen, lower back and thighs.But if it's not treated, patients can lose so much blood that they develop severe anemia. DUB is caused by a disturbance involving the hormones that regulate menstruation, but it is generally painless. Heavy and irregular bleeding, referred to as dysfunctional uterine bleeding (DUB), can indicate serious underlying medical problems in teens. However, the majority of girls can be reassured that the cramping is related to the production of prostaglandins by the uterus, which is easily remedied. Within a year or two of their first period, 50 to 75 percent of young women begin to experience painful menstrual cramps, or dysmenorrhea.ĭysmenorrhea are eventually traced to the gynecologic disorder endometriosis, in which endometrial tissue is located in sites within the pelvic cavity other than the uterus.
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