Abnormal menstrual bleeding aafp


    • [PDF File] Post-Menopausal Bleeding Primary Care Pathway

      http://5y1.org/file/12020/post-menopausal-bleeding-primary-care-pathway.pdf

      Post-menopausal bleeding occurs in between 4% - 11% of women, and is usually attributable to an intrauterine source.1 However, bleeding can occur from the cervix, vagina, vulva, fallopian tubes, the bladder, or bowel, so a thorough physical assessment is recommended. This pathway was created to facilitate the prompt management of post ...

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    • [PDF File] CLINICAL PRACTICE • Clinical update Dysfunctional uterine …

      http://5y1.org/file/12020/clinical-practice-clinical-update-dysfunctional-uterine.pdf

      Tranexamic acid (cyklokapron) is an antifibri-nolytic agent that reduces the endometrial fibrinolytic enzymes that are increased in DUB. Menstrual blood loss is reduced by 45–60%. Tranexamic acid is prescribed on only the heavy days of the menses, usually during the first 5 days. The dose prescribed is 1 g 3–4 times per day.

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    • [PDF File] Abnormal Uterine Bleeding in Premenopausal Women

      http://5y1.org/file/12020/abnormal-uterine-bleeding-in-premenopausal-women.pdf

      Approximately 20% of patients with heavy menstrual bleeding have a bleeding disorder, and the prevalence in adolescent girls who bleed heavily is even higher.21-23 Von Willebrand disease and platelet dysfunction are the most common coagulopathies associated with abnormal uterine bleeding.24 In addition to heavy menstrual bleeding, …

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    • [PDF File] Abnormal Uterine Bleeding in Pre-Menopausal Women

      http://5y1.org/file/12020/abnormal-uterine-bleeding-in-pre-menopausal-women.pdf

      Abnormal Uterine Bleeding in Pre-Menopausal Women. This clinical practice guideline has been prepared by the Clinical Practice – Gynaecology Committee, reviewed by the Canadian Paediatric and Adolescent Gynaecology/ Obstetrics Committee, and approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada.

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    • [PDF File] EVIDENCED-BASED CLINICAL MEDICINE Abnormal Uterine …

      http://5y1.org/file/12020/evidenced-based-clinical-medicine-abnormal-uterine.pdf

      tions. Abnormal bleeding can also result from con-traceptive methods. Many articles have reviewed the management of abnormal uterine bleeding,3,6,7,15,16,18,21 and they often include management algorithms. Although clinical algorithms have potential shortcom-ings,22,25 there are data to support their benefit to

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    • [PDF File] Practice Guidelines - AAFP

      http://5y1.org/file/12020/practice-guidelines-aafp.pdf

      Practice Guidelines. Heavy Menstrual Bleeding in Adolescents: ACOG Management Recommendations. Key Points for Practice • One in five adolescents with heavy menstrual bleeding has an underlying ...

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    • [PDF File] Abnormal Uterine Bleeding - AAFP

      http://5y1.org/file/12020/abnormal-uterine-bleeding-aafp.pdf

      In postmeno-pausal women, abnormal uterine bleeding includes vaginal bleeding 12 months or more after the cessation of menses, or unpredictable bleeding in postmenopausal. O A patient infor-mation ...

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    • [PDF File] Irregular Vaginal Bleeding Pathway

      http://5y1.org/file/12020/irregular-vaginal-bleeding-pathway.pdf

      Abnormal Postcoital Bleeding Non menstrual bleeding that occurs immediately after intercourse Investigations: FBC Pregnancy test Cervical screening if due Chlamydia test for at risk patients - vulvovaginal self collection If normal examination, observe if occurs only once Recurrent symptoms or abnormal cervical screening Referral to

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    • [PDF File] Dysmenorrhea - AAFP

      http://5y1.org/file/12020/dysmenorrhea-aafp.pdf

      ities, or infection may present with progressive worsening of pain, abnormal uterine bleeding, vaginal discharge, or dyspareunia. Initial workup should include a menstrual history and pregnancy ...

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    • [PDF File] Abnormal Uterine Bleeding in Premenopausal Women

      http://5y1.org/file/12020/abnormal-uterine-bleeding-in-premenopausal-women.pdf

      ADENOMYOSIS. The presence of endometrial tissue in the myometrium is known as ade-nomyosis. Its prevalence ranges from 5% to 70%, and its association with abnormal uterine bleeding is unclear.15 Many patients are asymptomatic, but those who have symptoms typically report painful, heavy, or prolonged menstrual bleeding.

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    • [PDF File] First Trimester Bleeding - AAFP

      http://5y1.org/file/12020/first-trimester-bleeding-aafp.pdf

      Medical management with methotrexate is highly effective for properly selected patients with ectopic pregnancy. Follow-up after early pregnancy loss should include attention to future pregnancy ...

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    • [PDF File] Management of abnormal uterine bleeding - UCSF CME

      http://5y1.org/file/12020/management-of-abnormal-uterine-bleeding-ucsf-cme.pdf

      Terminology: What is abnormal? • Normal: Cycle= 28 days (21‐35); Length=2‐7 days; heaviness=self‐defined • Too little bleeding: amenorrhea or oligomenorrhea • Too much bleeding: Menorrhagia (regular timing but heavy (according to patient or >80cc) OR long flow (>7 days) • Irregular bleeding: Metrorrhagia, intermenstrualor post‐

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    • [PDF File] Adenomyosis: Diagnosis and Management

      http://5y1.org/file/12020/adenomyosis-diagnosis-and-management.pdf

      myosis. Common symptoms include abnormal uterine bleeding (heavy menstrual bleeding and irregular menses) and dysmenorrhea (Table 2). Less common symptoms include dyspareunia and chronic pelvic pain. 6,7. Heavy menstrual bleeding occurs in 40% to . 60% of patients with adenomyosis. 6. Heavy bleed-ing is likely caused by the …

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    • [PDF File] Abnormal Uterine Bleeding

      http://5y1.org/file/12020/abnormal-uterine-bleeding.pdf

      The normal duration of menstrual bleeding is between two and seven days. Abnormal uterine bleeding occurs when either the frequency or quantity of uterine bleeding differs from that mentioned above or the woman has spotting or bleeding between her menstrual periods. Abnormal uterine bleeding may be caused by a variety of factors. The two …

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    • [PDF File] Abnormal Vaginal Bleeding in Pre and Post Menopausal …

      http://5y1.org/file/12020/abnormal-vaginal-bleeding-in-pre-and-post-menopausal.pdf

      • Heavy bleeding and irregular bleeding patterns should be investigated. Over 80mls of blood loss is considered to be heavy menstrual bleeding. Blood loss could be measured using a pictorial blood loss chart as it is quick, easy and provides a relatively accurate way to measure menstrual blood loss. Whether the bleeding is clinically

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    • [PDF File] Abnormal Uterine Bleeding in Premenopausal Women

      http://5y1.org/file/12020/abnormal-uterine-bleeding-in-premenopausal-women.pdf

      Approximately 20% of patients with heavy menstrual bleeding have a bleeding disorder, and the prevalence in adolescent girls who bleed heavily is even higher.21-23 Von Willebrand disease and platelet dysfunction are the most common coagulopathies associated with abnormal uterine bleeding.24 In addition to heavy menstrual bleeding, …

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    • [PDF File] Appendix Algorithm for Abnormal Uterine Bleeding - UI …

      http://5y1.org/file/12020/appendix-algorithm-for-abnormal-uterine-bleeding-ui.pdf

      The normal duration of bleeding is 1 to 7 days. The amount should be less than 1 pad or tampon per hour. Severe acute bleeding: The patient presents acutely with bleeding that requires more than one pad/tampon per hour or with vital signs indicating hypovolemia (eg, tachycardia, hypotension, orthostatic hypotension).

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