Cruz, Rivera, Tai, Veloso. ABNORMAL UTERINE BLEEDING. Menorrhagia - menses lasting longer than 7 days or exceeding 80 mL of blood loss Metrorrhagia - intermenstrual bleeding. menometrorrhagia . hypomenorrhea - diminished flow or shortening of menses
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Cruz, Rivera, Tai, Veloso
ABNORMAL UTERINE BLEEDING
FIGO Classification system for causes of abnormal uterine bleeding in nongravidwomen of reproductive age
To cut or not to cut?
*much more common with EACA than with AMCA
* Nilsson and Rybo No difference or an in increase in MBL 1 month S/P D&C
Otherwise: Medical therapy after ruling out organic disease via endometrial biopsy, sonohysteroscopy or diagnostic hysteroscopy
Meyer et al Thermal balloon and rollerball – 80% return to normal bleeding
* not dependent on whether the patient is anovulatoryor ovulatory
*Warrants treatment, but not necessitating the immediate cessation of blood loss
*Have lower amounts of circulating estrogen