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Related Experiment Videos

Abnormal uterine bleeding.

Janet R Albers1, Sharon K Hull, Robert M Wesley

  • 1Department of Family and Community Medicine, Southern Illinois University School of Medicine, Springfield, Illinois 62702, USA. jalbers@siumed.edu

American Family Physician
|May 1, 2004
PubMed
Summary
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Abnormal uterine bleeding diagnosis involves ruling out other causes. Management varies by patient risk, including medical options like oral contraceptives or surgical interventions such as hysterectomy.

Area of Science:

  • Gynecology
  • Family Medicine
  • Internal Medicine

Background:

  • Abnormal uterine bleeding (AUB) is a frequent complaint in family practice.
  • Initial evaluation aims to exclude pregnancy, medications, systemic conditions, and obvious pathology.

Purpose of the Study:

  • To outline diagnostic and management strategies for abnormal uterine bleeding.
  • To differentiate approaches based on patient age and risk factors for endometrial cancer.

Main Methods:

  • Systematic history, physical examination, and laboratory evaluation.
  • Risk stratification for endometrial cancer, guiding further investigations like endometrial biopsy, hysteroscopy, or ultrasonography.
  • Consideration of patient suitability for procedures like dilatation and curettage.

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Main Results:

  • Dysfunctional uterine bleeding is diagnosed by exclusion.
  • High-risk women may require endometrial biopsy; low-risk women can be assessed with transvaginal ultrasonography.
  • Postmenopausal bleeding management includes dilatation and curettage or alternative imaging with biopsy.

Conclusions:

  • Diagnostic approaches for AUB are tailored to patient demographics and risk.
  • Medical management includes hormonal therapies; menorrhagia responds well to NSAIDs or levonorgestrel IUDs.
  • Treatment options range from medical management to surgical interventions, including hysterectomy or uterus-sparing procedures.