Dysfunctional uterine bleeding

As a Naturopathic Doctor, I often see the odd conditions that fall outside of the classic box. One of those conditions is dysfunctional uterine bleeding which is classified as abnormal uterine bleeding that is not associated with structural abnormalities, pregnancy, or other identifiable causes. It is a diagnosis of exclusion, meaning that other potential causes for abnormal bleeding, such as polyps, fibroids, or hormonal imbalances, have been ruled out.




DUB often manifests as irregular, unpredictable, or excessive menstrual bleeding. The menstrual cycles may be longer or shorter than usual, and the amount of blood loss can vary. It commonly occurs in women during their reproductive years, and the exact cause is not always clear.

  1. Vitex (Chaste Tree): It is commonly used to regulate hormonal imbalances and may be beneficial for DUB. Chaste Tree

  1. Dong Quai: Known for its potential to regulate the menstrual cycle and alleviate menstrual disorders. Dong Quai

  2. Shepherd's Purse: Traditionally used for its hemostatic properties, it may help control excessive bleeding. Shepherd's Purse

  3. Nettle: Rich in vitamins and minerals, it is believed to support overall reproductive health. Nettle Leaf

  4. Raspberry Leaf: Often used to tone the uterus and may be helpful in managing excessive bleeding. Raspberry Leaf Tea



I always suggestion that patients get a full work up to rule out fibroids, estrogen excess or PCOS. Once someone has a clear understanding of what is going on, THEN they can make an educated decision about whether they want to try conventional medicine or naturopathic medicine for treatment. Below is the typical algorithm to determine the cause of the DUB.






The most common cause seems to be an estrogen excess and progesterone deficiency but occasionally one will see DUB with normal estrogen and progesterone levels. Even still, a trial of synthetic or bioidentical progesterone is usually the first treatment option. Amazingly though, if patients who do not respond to progesterone therapy, botanical medicine can still be effective.


Erin Gattuso