Abnormal Uterine Bleeding in Pre-Menopausal Women

Leyland, Nicholas; Wolfman, Wendy; Allaire, Catherine; Awadalla, Alaa; Best, Carolyn; Dunn, Sheila; Heywood, Mark; Lemyre, Madeleine; Marcoux, Violaine; Menard, Chantal; Potestio, Frank; Rittenberg, David; Singh, Sukhbir S.

doi:10.1016/s1701-2163(15)30732-5

Cited by 46 publications

(66 citation statements)

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“…The decision to proceed with a trial of medical treatment should be based on a patient choice of drugs by assessing benefits and side effects of drugs, desire of fertility or contraception, underlying medical conditions or contraindications, presence of dysmenorrhea. [6] In the present study commonest menstrual irregularity was menorrhagia about 45%. Among others, 18.3% presented with polymenorrhoea, 16.6% had meno metrorrhagia, 15% had polymenorrhagia, and 5% had oligomenorrhoea.…”

Section: Discussionsupporting

confidence: 49%

“…Targeted treatment for an underlying medical condition that can affect menstrual bleeding, such as hypothyroidism, should be initiated prior to the addition of any of the medical agents. [6] Regular, heavy menstrual bleeding can be successfully treated with both hormonal and non-hormonal options. Irregular or prolonged bleeding is most effectively treated with hormonal options that regulate cycles, decreasing the likelihood of unscheduled and potentially heavy bleeding episodes.…”

Section: Discussionmentioning

confidence: 99%

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Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Rani¹,

Mallika²

2016

International Journal of Medical and Dental Sciences

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Section: Discussionsupporting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Rani¹,

Mallika²

2016

International Journal of Medical and Dental Sciences

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“…Then we suspected a dysfunctional uterine bleeding [1]. However, haemostatic and hormones, even the curettage could not stop the heavy bleeding [5,6]. The biopsy of endometrial showed secretory phase in accordance with the patient's menstrual cycle (the 21st day of menstrual cycle) ( Figure 1).…”

Section: Discussionmentioning

confidence: 99%

A case of abnormal uterine bleeding of unknown origin

Zheng¹,

Yi²,

Huang³

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A reproductive-aged woman presented abnormal uterine bleeding of unknown reason with a heavy bleeding intermenstrual period. By physical examination, laboratory and imaging tests, pregnancy, iatrogenic cause, systemic condition and genital tract pathology were excluded. After high doses of estrogen with oxytocin and intrauterine balloon pipe treatment, the bleeding gradually reduced and stopped. Conclusion: Abnormal uterine bleeding is one of the most common reasons that reproductiveaged women seek health care. In rare complicated cases, however, the causes are difficult to identify which will lead to a delay in treatment and significant loss of the blood.

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“…After ruling out a pregnancy, the initial laboratory investigations for these patients should be based on history and clinical examination. In presence of findings suggestive of thyroid disease, thyrotropin-stimulating hormone (TSH) should be measured, as hypothyroidism and hyperthyroidism can be associated with abnormal uterine bleeding [2]. However, these diseases rarely lead to severe menorrhagia.…”

Section: Introductionmentioning

confidence: 99%