Abnormal vaginal bleeding in women of reproductive age: a descriptive study of initial management in general practice.

BMC Women's Health
Corlien J H de VriesPatrick J E Bindels

Abstract

Abnormal vaginal bleeding (AVB) in women of reproductive age is a common reason for consulting a general practitioner. Nevertheless, how general practitioners (GPs) choose to initially manage AVB is largely unknown, as is the prevalence of underlying pathology of AVB in primary care. To investigate the initial diagnostic procedures and treatment for AVB used in general practice, we performed a descriptive study based on computerised medical records. New consultations for AVB in 2000 and 2001 were selected. Patient characteristics, diagnostic procedures and treatment were analysed. In total, 270 new consultations were included. The majority of patients (75%) consulted the GP for AVB only once. GPs performed diagnostic procedures in 54% of all consultations. Overall, additional diagnostic procedures revealed abnormalities in 11% of women. However, the diagnostic procedures implemented by the GPs varied widely per bleeding type and contraceptive use. Anaemia was found in 36% of 45 women tested. Uterine fibroids were found in 41% of 27 women examined by ultrasound. Medication was prescribed in 34% of all consultations. A gynaecological referral was registered in 4% of all contacts. Initially, GPs tend to follow a policy of expectan...Continue Reading

References

May 1, 1994·The Journal of Reproductive Medicine·M G Dodson
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Citations

Aug 2, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Corlien J H de VriesWillem M Ankum
Nov 10, 2012·Emergency Medicine Clinics of North America·Angela R Cirilli, Stephen J Cipot
Sep 29, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Myrvete PaçaradaHana Qavdarbasha
Oct 14, 2014·Journal de gynécologie, obstétrique et biologie de la reproduction·S GrandcolinX Fritel
Jun 7, 2017·Family Practice·Marian J van den BrinkJanny H Dekker
Jan 7, 2018·BMC Women's Health·Adna Thaysa Marcial da SilvaIsabel Cristina Esposito Sorpreso

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Methods Mentioned

BETA
contraception
pregnancy tests

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