No. 292-Abnormal Uterine Bleeding in Pre-Menopausal Women

Area of Science:

• Gynecology
• Women's Health
• Evidence-Based Medicine

Background:

• Abnormal uterine bleeding (AUB) is a prevalent condition impacting women's quality of life and imposing a substantial healthcare burden.
• Approximately 30% of women seek medical help for AUB during their reproductive years.

Purpose of the Study:

• To establish current, evidence-based guidelines for diagnosing and managing abnormal uterine bleeding in reproductive-aged women.
• To provide healthcare professionals with tools for the latest evidence-based care.

Main Methods:

• A guideline committee with diverse expertise reviewed English medical literature and existing guidelines.
• Recommendations were developed through consensus statements and approved by the SOGC Executive and Council.
• Literature searches included MEDLINE and Cochrane Library from 1999-2013, encompassing systematic reviews, RCTs, and observational studies.

Main Results:

• The document summarizes current evidence on AUB diagnosis, investigations, and medical/surgical management.
• Recommendations are intended for adaptation by healthcare workers in clinical practice.
• Outcomes evaluated include AUB's impact on quality of life and intervention effectiveness.

Conclusions:

• Standardizing terminology, adopting a systematic diagnostic approach, and implementing stepwise interventions are crucial for managing AUB.
• The primary goal is to initiate treatment with medical modalities, progressing to minimally invasive surgery if needed.
• Effective management of abnormal uterine bleeding aims to achieve patient-satisfactory outcomes.