Non-Painful Out of Pill Membranous Dysmenorrhoea

Abstract

Transvaginal ultrasound showed empty uterine cavity, thin endometrium and no adnexal masses. Urine pregnancy test came negative. The patient was discharged and a medical appointment was scheduled 3 weeks later. The patient remained asymptomatic. Histological examination of the product revealed an endometrium with exacerbated decidualization of the stroma and vascular congestion (Figure 3).

The epidemiology of gynaecologic health: contemporary opportunities and challenges

“…For example, it is estimated that globally, on average, there is a seven year delay between symptom onset and diagnosis for women with endometriosis. 19 Additionally, anomalies such as decidual casts (ie, shedding of the uterine lining in one piece, in the shape of the uterine cavity) 20 or galactorrhoea (eg, spontaneous lactation) 21 may manifest as transient episodes that may resolve before the person seeks treatment, rendering their measurement and study difficult.…”