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Abnormal vaginal bleeding in perimenopausal women.
1Mayo Medical School, Rochester, Minnesota.
American Family Physician
|July 1, 1989
Summary
Abnormal vaginal bleeding is common in perimenopausal women, often caused by anovulation. Diagnosis and management are typically handled in a family physician
Area of Science:
- Reproductive Endocrinology
- Gynecology
- Family Medicine
Background:
- Abnormal vaginal bleeding (AVB) incidence rises in late reproductive years.
- Perimenopausal AVB is frequently linked to anovulation.
- Many cases are manageable in primary care settings.
Purpose of the Study:
- To review the causes and management of AVB in perimenopausal women.
- To emphasize the role of family physicians in diagnosing and treating AVB.
- To provide an overview of anovulation as a primary cause.
Main Methods:
- Literature review of studies on perimenopausal bleeding.
- Analysis of diagnostic approaches for AVB.
- Summary of common management strategies for anovulatory bleeding.
Main Results:
- Anovulation is the predominant cause of AVB in the perimenopausal age group.
- Diagnosis and initial management are feasible within a family physician's office.
- Timely intervention can effectively address symptoms.
Conclusions:
- Perimenopausal AVB, primarily due to anovulation, requires accessible primary care management.
- Family physicians play a crucial role in the diagnosis and treatment of these patients.
- Effective management strategies exist for common causes of AVB.