American Journal of Obstetrics and Gynecology
Differential diagnosis of abnormal uterine bleeding☆,☆☆,★
Section snippets
PRESENTATIONS OF ABNORMAL UTERINE BLEEDING
Abnormal uterine bleeding includes a decrease (hypomenorrhea) or increase (menorrhagia) in blood loss during menses (volume), a decrease (oligomenorrhea) or an increase (polymenorrhea) in the number of bleeding episodes (number of menses), a decrease or an increase (menorrhagia) in the length of menses (number of days), and irregular bleeding episodes that occur at frequent intervals between menses (metrorrhagia). Abnormal uterine bleeding may also occur as prolonged bleeding at irregular
DIFFERENTIAL DIAGNOSIS OF ABNORMAL UTERINE BLEEDING
The differential diagnosis of abnormal excessive uterine bleeding includes organic causes, which may be subdivided into reproductive tract disease, iatrogenic causes, and systemic disease and, in the absence of an organic cause, dysfunctional uterine bleeding (Table I). The diagnosis of dysfunctional uterine bleeding is made by excluding all organic causes.
References (23)
- et al.
A rapid method for measuring menstrual blood loss using automatic extraction
Contraception
(1977) - et al.
A preliminary study of factors influencing perception of menstrual blood loss volume
Am J Obstet Gynecol
(1984) - et al.
A prospective comparison of transvaginal ultrasonography and diagnostic hysteroscopy in the evaluation of patients with abnormal uterine bleeding: clinical implications
Am J Obstet Gynecol
(1995) Dilatation and curettage: a reappraisal
Am J Obstet Gynecol
(1982)- et al.
Hysteroscopic findings after unsuccessful dilatation and curettage for abnormal uterine bleeding
Am J Obstet Gynecol
(1988) - et al.
A comparative study between panoramic hysteroscopy with directed biopsies and dilatation and curettage: a review of 276 cases
Am J Obstet Gynecol
(1988) - et al.
Acute adolescent menorrhagia
Am J Obstet Gynecol
(1981) - et al.
Common menstrual disorders
Pediatr Clin North Am
(1989) - et al.
A new and simple method of measuring menstrual blood loss
J Reprod Med
(1988) - et al.
Menorrhagia: a review
Obstet Gynecol Surv
(1989)
Estimating vaginal blood loss
J Reprod Med
Cited by (0)
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From the Department of Obstetrics and Gynecology, University of Southern California School of Medicine.
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Reprint requests: Paul F. Brenner, MD, Women's and Children's Hospital, Room L1009, 1240 N. Mission Road, Los Angeles, CA 90033.
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