Appendix Algorithm for Abnormal Uterine Bleeding
Appendix Algorithm for Abnormal Uterine Bleeding Table of Contents Figures Boxes Figure 1. Abnormal Uterine Bleeding Between Box 1. Bleeding Patterns. Definitions and Criteria. Menarche and Menopause Box 2. Combination Oral Contraceptive Pill Figure 2. First Trimester Bleeding Box 3. Progesterone Therapy Figure 3. Severe Acute Bleeding in the Nonpregnant Patient Box 4. Uterine Bleeding : Variations of Normal and Minor Abnormalities Figure 4. Irregular Bleeding in the Nonpregnant Patient Box 5. Evaluation for Systemic Cause of Abnormal Uterine Bleeding Figure 5. Menorrhagia in the Nonpregnant Patient Box 6. Contraindications Figure 6. Secondary Amenorrhea Box 7. Treatment of Polycystic Ovary Syndrome Figure 7. Oral Contraceptive Pill Associated (PCOS). Bleeding Box 8.
First 4-6 months of use? Encourage continued use if mild symptoms. Can add NSAID (eg, ibuprofen 400 mg TID x 4 days starting day 1 of menses). Remove IUD. If abnormal bleeding persists and patient over age 35 do endometrial biopsy (Figure 10). Continued abnormal bleeding after 6 months or patient wants intervention now Yes No Figure 9.
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