Document Detail


Abnormal uterine bleeding.
MedLine Citation:
PMID:  17458397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Disorders of the menstrual cycle are common problems in ambulatory medicine. Abnormal uterine bleeding describes bleeding that is excessive or outside the normal menstrual cycle. In the premenopausal woman, the differential diagnosis is broad, and pregnancy must always be considered. Determining whether the bleeding is ovulatory or anovulatory is a central part of the evaluation, as anovulation is one of the most common causes of abnormal uterine bleeding. In patients with anovulatory bleeding, the goal of treatment is to minimize blood loss and prevent complications from chronic unopposed estrogen. In women with oligomenorrhea or amenorrhea, after establishing the etiology, it is necessary to maintain adequate estrogen to support bone health. In the peri- and postmenopausal population, because the incidence of endometrial hyperplasia and malignancy rises, it is important to have a low threshold for endometrial assessment.
Authors:
Sara B Fazio; Amy N Ship
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Southern medical journal     Volume:  100     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-26     Completed Date:  2007-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  376-82; quiz 383, 402     Citation Subset:  AIM; IM    
Affiliation:
Harvard Medical School, Division of General Internal Medicine E-CC63 IH, Boston, MA 02215, USA. sfazio@bidmc.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Anovulation / complications*,  diagnosis
Diagnosis, Differential
Female
Humans
Menstrual Cycle / physiology
Postmenopause / physiology
Pregnancy
Pregnancy, Ectopic / diagnosis*
Uterine Hemorrhage / diagnosis,  etiology*
Comments/Corrections
Summary for patients in:
South Med J. 2007 Apr;100(4):419   [PMID:  17458412 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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