小结
鉴别诊断
常见
- Polycystic ovary syndrome (PCOS)
- Leiomyomata (uterine fibroids)
- Endometrial polyp
- Endometrial dysfunction
- Iatrogenic
不常见
- Endometrial malignancy
- Adenomyosis
- Coagulopathy
- Hypothyroidism
- Hyperprolactinemia
- Cervical cancer
- Ovarian cancer
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
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.
患者教育信息
Endometriosis
Heavy periods
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