Abnormal uterine bleeding in perimenopause

Climacteric : the Journal of the International Menopause Society
Steven R Goldstein, M A Lumsden

Abstract

Abnormal uterine bleeding is one of the commonest presenting complaints encountered in a gynecologist's office or primary-care setting. The wider availability of diagnostic tools has allowed prompt diagnosis and treatment of an increasing number of menstrual disorders in an office setting. This White Paper reviews the advantages and disadvantages of transvaginal ultrasound, blind endometrial sampling and diagnostic hysteroscopy. Once a proper diagnosis has been established, appropriate therapy may be embarked upon. Fortunately, only a minority of such patients will have premalignant or malignant disease. When bleeding is sufficient to cause severe anemia or even hypovolemia, prompt intervention is called for. In most of the cases, however, the abnormal uterine bleeding will be disquieting to the patient and significantly affect her 'quality of life'. Sometimes, reassurance and expectant management will be sufficient in such patients. Overall, however, in cases of benign disease, some intervention will be required. The use of oral contraceptive pills especially those with a short hormone-free interval, the insertion of the levonorgestrel intrauterine system, the incorporation of newer medical therapies including antifibrinolytic...Continue Reading

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Citations

Jun 29, 2018·Clinical Obstetrics and Gynecology·Lara Delamater, Nanette Santoro
Dec 14, 2019·Menopause : the Journal of the North American Menopause Society·Mara UlinQiwei Yang
May 13, 2020·Climacteric : the Journal of the International Menopause Society·G RiemmaP De Franciscis
Jul 11, 2020·Climacteric : the Journal of the International Menopause Society·Salvatore Giovanni Vitale
Jul 11, 2020·Climacteric : the Journal of the International Menopause Society·S MolnárP Török
Jul 16, 2019·The Journal of Obstetrics and Gynaecology Research·Lin JinYimin Xu
May 25, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·A Seval Ozgu-ErdincDilek Uygur
Jul 20, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Salvatore Giovanni VitaleAntonio Cianci

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