Evaluation of abnormal uterine bleeding

最后审阅: 1 Feb 2026
最后更新: 14 Nov 2023

小结

鉴别诊断

常见

  • Polycystic ovary syndrome (PCOS)
  • Leiomyomata (uterine fibroids)
  • Endometrial polyp
  • Endometrial dysfunction
  • Iatrogenic
完整详情

不常见

  • Endometrial malignancy
  • Adenomyosis
  • Coagulopathy
  • Hypothyroidism
  • Hyperprolactinemia
  • Cervical cancer
  • Ovarian cancer
完整详情

撰稿人

作者

Bevan Brown, MBBS (Syd), FRANZCOG

Consultant Obstetrician and Gynaecologist

Sydney Adventist and Norwest Private Hospitals

Medical Co-Director

Sydney Fibroid Clinic

Sydney

Australia

利益声明

BB declares that he is Medical Co-Director (with Dr Eisen Liang) of Sydney Fibroid Clinic. He has acted as a paid speaker for HOLOGIC in reference to their Myosure System and for Besins in relation to Slinda (drospirenone). He is a co-author with Dr Eisen Liang of several articles on fibroids, adenomyosis and their management, and co-author with Dr Liang of a book for patients on adenomyosis.

同行评议者

Mostafa Abuzeid, MD

Professor

Department of Obstetrics and Gynecology

Michigan State University

MI

利益声明

MA declares that he has no competing interests.

Botros Rizk, MD, FACOG

Professor and Head of Reproductive Endocrinology and Infertility

Department of Obstetrics and Gynecology

University of South Alabama

AL

利益声明

BR declares that he has no competing interests.

Peter Reid, BSc, MD, FRCOG, FRANZCOG

Specialist Gynaecologist

Peel Health Campus

Mandurah

Australia

利益声明

PR declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

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关键文献

American College of Obstetricians and Gynecologists. ACOG committee opinion no. 557: management of acute abnormal uterine bleeding in nonpregnant reproductive-aged women. Apr 2013 [internet publication].全文  摘要

American College of Obstetricians and Gynecologists. Practice bulletin no. 128: diagnosis of abnormal uterine bleeding in reproductive-aged women. Jul 2012 [internet publication].

National Institute for Health and Care Excellence. Heavy menstrual bleeding: assessment and management. May 2021 [internet publication].全文

American College of Radiology. ACR appropriateness criteria abnormal uterine bleeding. 2020 [internet publication].全文

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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