Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Abnormal uterine bleeding: a management algorithm.

John W Ely1, Colleen M Kennedy, Elizabeth C Clark

  • 1Department of Family Medicine, University of Iowa Carver College of Medicine, Iowa City, IA 52242, USA. john-ely@uiowa.edu

Journal of the American Board of Family Medicine : JABFM
|November 9, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Diagnosis and Management of Tinea Infections.

American family physician·2025
Same author

Dependent Adult Abuse Trends in Iowa, 1984 to 2023.

Journal of primary care & community health·2024
Same author

The TELEhealth Shared decision-making COaching and navigation in Primary carE (TELESCOPE) intervention: a study protocol for delivering shared decision-making for lung cancer screening by patient navigators.

BMC primary care·2024
Same author

The TELEhealth Shared decision-making Coaching and Navigation in Primary carE (TELESCOPE) intervention: a study protocol for delivering shared decision-making for lung cancer screening by patient navigators.

Research square·2024
Same author

Association between plasma leptin and cesarean section after induction of labor: a case control study.

BMC pregnancy and childbirth·2022
Same author

The outcomes and experience of pregnancy in limb girdle muscular dystrophy type R9.

Muscle & nerve·2021

This study developed a practical algorithm for managing abnormal uterine bleeding (AUB) in women of reproductive age. The guideline integrates evidence-based medicine with clinical practice for better patient care.

Area of Science:

  • Gynecology
  • Evidence-based Medicine
  • Clinical Practice Guidelines

Background:

  • Abnormal uterine bleeding (AUB) is a prevalent gynecological issue with complex management challenges.
  • Existing guidelines for AUB are often difficult to implement due to their complexity.
  • There is a need for concise, practical guidelines for AUB management.

Purpose of the Study:

  • To develop a concise and comprehensive algorithm for managing abnormal uterine bleeding (AUB) in women between menarche and menopause.
  • To create a guideline that bridges the gap between systematic literature reviews and actual clinical practice.
  • To provide primary care physicians with effective AUB management strategies.

Main Methods:

  • A systematic literature review was conducted using MEDLINE to identify relevant research on AUB.

Related Experiment Videos

  • An initial algorithm was drafted based on the literature review.
  • The algorithm was iteratively refined by comparing it with the care of 300 patients in a university gynecology clinic.
  • Discrepancies were discussed and resolved by investigators (family physicians and gynecologists) through audiotaped meetings.

    • Main Results:

    • A final algorithm was established after three iterations, aligning with observed clinical practices and evidence.
    • The algorithm categorizes AUB into four types: irregular bleeding, heavy regular bleeding (menorrhagia), severe acute bleeding, and contraceptive-associated bleeding.
    • Management strategies involve simultaneous diagnostic and treatment interventions.

    Conclusions:

    • The developed algorithm offers a practical approach to managing abnormal uterine bleeding.
    • It supports primary care physicians in applying evidence-based and clinically relevant AUB management strategies.
    • The guideline aims to improve the consistency and effectiveness of AUB care for women of reproductive age.