Investigation and management of abnormal peri-menopausal bleeding

Area of Science:

• Gynecology
• Oncology

Background:

• Abnormal uterine bleeding (AUB) is a frequent issue in peri-menopausal and post-menopausal women.
• Clinical decisions for AUB investigations are challenging due to a lack of clear diagnostic guidelines.
• Distinguishing pathological causes from physiological changes in AUB requires careful evaluation.

Purpose of the Study:

• To review current evidence on diagnostic tools for abnormal uterine bleeding (AUB) in menopausal transition and post-menopause.
• To focus on methods for investigating and excluding endometrial carcinoma, a common malignancy.

Main Methods:

• Literature review of current evidence on diagnostic tools for AUB.
• Focus on investigation and exclusion of endometrial cancer.

Main Results:

• The review synthesizes available evidence on investigation tools for AUB in menopausal women.
• Emphasis is placed on diagnostic strategies for endometrial carcinoma.

Conclusions:

• Effective investigation tools are crucial for managing AUB in menopausal women.
• Excluding endometrial cancer is a primary concern in the diagnostic workup.