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

Munro, Malcolm G.; Critchley, Hilary O. D.; Fraser, Ian S.

doi:10.1002/ijgo.12666

Cited by 640 publications

(692 citation statements)

References 60 publications

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“…These findings are further evidence that MD can be considered as an important clinical marker of gynecological pathology at the pre-hospital stage. When studying the menstrual function of the obstetrician-gynecologist, the following important rules should be followed: try to use the most adaptive scale for both the patient and the doctor to determine the adequacy of the menstrual cycle and find the reasons for its violation [8].…”

Section: Resultsmentioning

confidence: 99%

Features of gynecological pathology in women of reproductive age from Kyiv region

Horban

Dzys

Lynchak

et al. 2019

Biomed. and Biosoc. Anthrop.

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One of the main conditions for the birth of a healthy baby is the gynecological health of the mother. For this reason, the purpose of the work was to assess the state of gynecological health of women in the Kyiv region. In this work, we used the data of departmental statistical reporting of the Ministry of Health of Ukraine about the number of cases of gynecological pathology from 2010-2017. The number of women of the corresponding age was determined according to the State Statistics Service of Ukraine. The relative risk of pathology (taking into account the 95 % confidence interval) from 2010-2013, 2014-2017 in the Kyiv region was evaluated in comparison with the general indicators in Ukraine as well as from 2014-2017 compared to 2010-2013 in the Kyiv region and general data in Ukraine. Separately for the Kyiv region, the frequency of gynecological pathology was determined among women of reproductive age (707 women), who visited Municipal Institution of Kyiv Regional Council “Kyiv Regional Centre for the Mother and Child Health Defense” from 2014 to 2017. The average age of women was 31.66±0.37. In most cases, the residents of the Kyiv region were diagnosed with chronic inflammatory diseases of the pelvic organs (salpingitis, 21.6 ‰). The relative risks of the occurrence of such diseases were determined in the region, compared with Ukraine, and over time. Those, who had menstrual disorders, hyperproliferative processes of the endometrium were more often recorded (10.8% versus 3.1%, p<0.01), and those with inflammatory processes of the pelvic organs more often had cervical dysplasia (19.8 % versus 4.7 %, p<0.001), chronic diseases of the genitourinary system (7.1 % versus 3.2 %, p<0.05) and digestive organs (17.3 % versus 9.6 %, p<0.01), which indicates a possible pathogenetic role of the inflammatory factor in the development of gynecological pathology. The relative risk of gynecological diseases among the women in the Kyiv region showed that the greatest attention is needed to improving the diagnostics of infertility and endometriosis, as well as the prevention and treatment of salpingitis and uterine cancer. Women with menstrual disorder during their visit to a gynecologist should be checked for the presence of hyperproliferative pathology and, in case a woman is diagnosed with other chronic diseases, they should be offered treatment of these areas of inflammation, which can further positively affect their reproductive health.

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Section: Resultsmentioning

confidence: 99%

Features of gynecological pathology in women of reproductive age from Kyiv region

Horban

Dzys

Lynchak

et al. 2019

Biomed. and Biosoc. Anthrop.

View full text Add to dashboard Cite

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“…2 Regular menstrual bleeding should be 9 days or less in variation from the beginning of one menses to the beginning of the next one; however, this is age dependent so that women between 26 and 41 years old should have variation of 7 days or less in menstrual cycle length. 4 For frequency terminology, amenorrhea is when menses are absent or a woman experiences no bleeding, frequent menstrual bleeding is when menses occur less than 24 days apart, and infrequent menses is when menses occur more than 38 days apart. For duration, more than 8 days of bleeding is considered prolonged menses.…”

Section: Introductionmentioning

confidence: 99%

Evaluation and Management of Abnormal Uterine Bleeding

Marnach

Laughlin-Tommaso

2019

Mayo Clinic Proceedings

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“…Abnormal uterine bleeding (AUB) has a signi cant impact on women of childbearing age [1,2] and postmenopausal women [3]. Depending on the underlying etiology, the surgeon may decide on a less invasive surgical procedure or not a surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

Sayyah-Melli

Shishavan

Behravan

et al. 2020

Preprint

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Background: Concurrent bleeding or existing clots usually obscure the vision field and decrease the success rate of hysteroscopy. Therefore, any efforts made in order to have a clear view during the hysteroscopy will improve the diagnostic or treatment outcomes. We examined the effect of preoperative clot evacuation on hysteroscopy and patient outcomes. Methods: In this parallel-group trial, 114 patients with uterine bleeding were randomly assigned to receive either clot evacuation before standard operative hysteroscopy or standard hysteroscopy alone. The investigated endpoints were the clarity of vision, amount of bleeding, the volume of distension media, duration of the procedure, and postoperative complications. Results: All 114 participants completed the study. There were statistically significant differences in the frequency of the clear vision (p<.001), the severity of bleeding (p=.0006), mean procedure time (p<.001), mean serum volume used (p<.001), and the postoperative hematocrit levels (p<.001) between groups, in favor of women with preprocedural intrauterine evacuation. There was no difference related to in-hospital stay (p=0.081) and anesthetic complications among the patients (p=0.182). The procedure was successfully performed on all patients of both groups with zero postoperative complications. Conclusion: Removal of clots and other uterine contents before the insertion of the hysteroscope rendered better and faster access to the uterine wall to observe existing abnormalities. This additional surgical step could take a significant impact on surgical and clinical outcomes. Trial registration: Clinical trial registry name: Iranian Registry of Clinical Trials Url: https://en.irct.ir/trial/33369 The registration number: IRCT20101130005283N13 Date of trial registration: 2018-11-16

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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

Cited by 640 publications

References 60 publications

Features of gynecological pathology in women of reproductive age from Kyiv region

Features of gynecological pathology in women of reproductive age from Kyiv region

Evaluation and Management of Abnormal Uterine Bleeding

Uterine Evacuation before Operative Hysteroscopy in Patients with Active Uterine Bleeding: A randomized controlled trial

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