Evaluation of abnormal uterine bleeding
Resumo
Differentials
Common
- Polycystic ovary syndrome (PCOS)
- Leiomyomata (uterine fibroids)
- Adenomyosis
- Endometrial polyp
- Endometrial dysfunction
- Iatrogenic
Uncommon
- Endometrial malignancy
- Endometrial hyperplasia
- 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 a Co-Director of Sydney Fibroid Clinic. He has accepted paid commissions to lecture for Hologic (Myosure), Bayer (Mirena), and Besins (Slinda).
Peer reviewers
Patricia Huguelet, MD
Professor
Section Chief Pediatric and Adolescent Gynecology
University of Colorado School of Medicine
Colorado, CO
Disclosures
PH declares that she 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.
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.
References
Key articles
Munro MG, Critchley HOD, Fraser IS, et al. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018 Dec;143(3):393-408.Full text Abstract
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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