Summary
Differentials
Uncommon
- Endometrial cancer
- Ovarian cancer
- Vaginal cancer
- Ectopic pregnancy
- Placental abruption
- Placenta previa
- Cervicitis
- Vaginitis
- Sexual abuse in children
- Neonatal uterine bleeding
- Precocious puberty
- Genital trauma
- Vaginal foreign body
- Condylomata accuminata
Contributors
Authors
Intisar Elnahhas, MD

Research Associate
Laboratory Director
San Antonio Reproductive Associates
San Antonio
TX
Disclosures
IE declares that she has no competing interests.
Mohamed Mitwally, MD, HCLD, FACOG

Medical Director
Division of Reproductive Endocrinology and Infertility
Baptist Medical Center
San Antonio Reproductive Associates
San Antonio
TX
Disclosures
The author owns a patent on the use of aromatase inhibitors for endometrial thinning before hysteroscopic surgery. The patent is licensed to Meditrina Company.
Peer reviewers
Sana Salih, MD
Assistant Professor
Department of Obstetrics and Gynecology
University of Wisconsin
Madison
WI
Disclosures
SS declares that she has no competing interests.
Austin Ugwumadu, PhD, FRCOG
Consultant/Senior Lecturer in Obstetrics and Gynaecology
St George's Hospital
London
UK
Disclosures
AU declares that he has no competing interests.
M. Jonathon Solnik, MD, FACOG, FACS
Associate Professor of Obstetrics & Gynaecology
Head of Gynaecology & Minimally Invasive Surgery
Faculty of Medicine at the University of Toronto
Mt. Sinai Hospital
Toronto
Canada
Disclosures
JS consults for Medtronic, Hologic, and Olympus. He is on the advisory board for Abbvie.
Patient leaflets
Endometriosis
Heavy periods
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