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What is Dysfunctional uterine bleeding? Dysfunctional uterine bleeding is the irregular bleeding from the uterus. What causes dysfunctional uterine bleeding? Dysfunctional uterine bleeding is usually caused by abnormal changes in hormone levels. In some cases the cause of the bleeding is not known. Under normal circumstances one of the ovaries releases an egg during the menstrual cycle, this process is called ovulation. Dysfunctional uterine bleeding is often triggered when women do not ovulate. This causes abnormal changes in hormone levels and in some cases it can lead to unexpected vaginal bleeding. Symptoms Symptoms of dysfunctional uterine bleeding may include: The time between each periods changes each month. Spotting or Bleeding from the vagina between periods. If the periods occur less than 28 days apart or more than 35 days apart. Heavier bleeding (such as needing to change protection during the night, passing large clots, soaking through a sanitary pad every hour for 2 – 3 hours in a row). Bleeding lasts for more days than normal or for more than 7 days.