Beruflich Dokumente
Kultur Dokumente
Age of patient
Frequency
Duration
Flow
Traditional terminologies
Menorrhagia
Metrorrhagia
Oligomenorrhea
Polymenorrhea
Differential diagnosis
Pregnancy related complications
ectopic, inevitable
Differential diagnosis
Disease of the cervix
Polyp, ectropian, dysplasia, invasive
cancer
Differential diagnosis
Disease of the uterus
Infection: endometritis
Endometrial polyp, adenomyosis, hyperplasia, adenocarcinoma
Fibroids
One third of patients with symptoms
Differential diagnosis
Disease of the ovary
Germ cell tumors
Choriocarcinomas
Embryonal carcinoma
Differential diagnosis
Thyroid disease
Prolactinomas
Coagulation defects
Renal, liver failure
Differential diagnosis
Trauma
Foreign bodies
Differential diagnosis
Medications
Hormonal contraceptives
Hormone replacement therapy
Phytoestrogens, ginseng
SSRIs
Differential diagnosis
Dysfunctional uterine bleeding
Anovulatory cycles
Loss of normal regulatory mechanism
Immaturity
Dysfunction
Psychiatric medications, stress, anxiety, exercise, rapid
weight loss, anorexia nervosa
Ovarian failure
Obesity
PCOS
Evaluation
History and physical
Labs
Pregnancy test
CBC
TSH
Prolactin
(Liver function tests)
(Coagulation panels)
(Androgen profile)
Testosterone, DHEAS, Hydroxyprogesterone
Evaluation
Cytopathology
Pap
Endometrial biopsy
Imaging studies
Surgical
D&C hysteroscopy
(cont)
Treatments
Medical therapy
Hormonal
Surgical therapy
D&C
Endometrial ablation
Myomectomy/hysterectomy
Radiologic therapy
Uterine artery embolization (UAE)