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ABNORMAL UTERINE BLEEDING

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  • 90% anovulatory,
  • 10% ovulatory


Hypermenorrhea/Menorrhagia

 

  1. cyclic menstrual bleeding that is excessive in amount (>80 mL) or duration (> 7 days)
    • adenomyosis
    • endometriosis
    • leiomyomata
    • endometrial hyperplasia or cancer
    • hypothyroidism


Hypomenorrhea

 

  1. decreased menstrual flow or vaginal spotting
    • BCP

 

 

Oligomenorrhea

 

  1. episodic vaginal bleeding occurring at intervals > 35 days
    • usually associated with anovulation


Polymenorrhea

 

  1. episodic vaginal bleeding occurring at intervals < 21 days
    • usually associated with anovulation


Metrorrhagia

 

  1. uterine bleeding occurring between periods
    • organic pathology
    • endometrial/cervical polyps or cancer
    • anovulation
    • estrogen withdrawal


Menometrorrhagia

 

  1. uterine bleeding irregular in frequency, and also excessive in amount
    • organic pathology
    • endocrine abnormality
    • early pregnancy


Postmenopausal Bleeding

 

  1. any bleeding > 1 year after menopause investigations
    • endometrial sampling - biopsy or D&C
    • sonohystogram with possible ultrasound for endometrial thickness and polyps
    • hysteroscopy
ABNORMAL UTERINE BLEEDING ABNORMAL UTERINE BLEEDING Reviewed by Radiology Madeeasy on August 22, 2010 Rating: 5
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