Episode 61 – Abnormal Uterine Bleeding

EMplify – September 2021

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Authors:
Tazeen Abbas, MD
Abbas Husain, MD, FACEP
  • Physiology review
  • Terminology
  • Differentiating Causes: PALM-COEIN
    • Structural: Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia
    • Non-structural: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise specified
    • Other causes: thyroid disease, hyperprolactinemia, stress, weight loss and anorexia, heavy exercise
  • Age Based Differential
    • 12-18
      • Immaturity of the hypothalamic-pituitary- ovarian axis
      • Sexually transmitted infections
      • Coagulopathies, and bleeding disorders (von Willibrand disease)
    • 19-39
      • polyps
      • fibroids
      • malignancy
      • PCOS
    • Age 40 and older
      • endometrial atrophy
      • malignancy
  • History
  • Physical Exam
  • Diagnostic Studies
  • Treatment
    • Unstable
    • Stable
  • Special Cases
    • DOACs
    • Prepubescent girls
    • genital injuries

 

Last Updated on April 29, 2022

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