Summary
Differentials
Common
- Polycystic ovary syndrome (PCOS)
- Leiomyomata (uterine fibroids)
- Endometrial polyp
- Endometrial dysfunction
- Iatrogenic
Uncommon
- Endometrial malignancy
- Adenomyosis
- Coagulopathy
- Hypothyroidism
- Hyperprolactinemia
- Cervical cancer
- Ovarian cancer
Contributors
Authors
Bevan Brown, MBBS (Syd), FRANZCOG
Consultant Obstetrician and Gynaecologist
Sydney Adventist and Norwest Private Hospitals
Medical Co-Director
Sydney Fibroid Clinic
Sydney
Australia
Disclosures
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.
Peer reviewers
Mostafa Abuzeid, MD
Professor
Department of Obstetrics and Gynecology
Michigan State University
MI
Disclosures
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
Disclosures
BR declares that he has no competing interests.
Peter Reid, BSc, MD, FRCOG, FRANZCOG
Specialist Gynaecologist
Peel Health Campus
Mandurah
Australia
Disclosures
PR declares that he has no competing interests.
References
Key articles
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].Full text Abstract
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].Full text
American College of Radiology. ACR appropriateness criteria abnormal uterine bleeding. 2020 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Patient information
Endometriosis
Heavy periods
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