What is the goal of abnormal uterine bleeding (AUB) treatment?

• A. Eliminate all menstrual cycles
• B. Normalize bleeding, correct anemia, and restore quality of life
• C. Increase estrogen levels
• D. Use NSAIDs only

Answer: (B)

Treating abnormal uterine bleeding aims to bring menstrual bleeding back to a normal pattern, prevent or treat anemia from blood loss, and restore a woman’s daily functioning and quality of life. This means reducing heavy or prolonged bleeding to a typical range, correcting iron deficiency with appropriate iron therapy, and addressing symptoms that affect energy, mood, and daily activities. The approach is tailored to the underlying cause and the patient’s priorities, using hormonal or nonhormonal options and addressing any structural or systemic factors. Treatments such as hormonal therapies or antifibrinolytics can reduce bleeding, iron supplementation supports recovery from anemia, and NSAIDs may help with pain and further blood loss. The ultimate goal is improved quality of life and prevention of complications, rather than forcing a universal outcome for every person.