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. Endometrial biopsy vs. Transvaginal Figure 8. Depo-Medroxyprogesterone or Ultrasound (TVUS). Progesterone-Only Pill Associated Bleeding Box 9. Abbreviations Figure 9. Intrauterine Device Associated Bleeding Box 10. References Figure 10.

Abnormal Uterine Bleeding Between Menarche and Menopause Do history and physical exam. Rule out pregnancy. Use Box 1 to determine bleeding pattern. Severe acute bleeding ... fibroids vs. observation vs. hormonal therapy vs. surgery (Figures 4 and 5). Tumor-level elevations of androgens (testosterone

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  Abnormal, Bleeding, Uterine, Fibroids, Abnormal uterine bleeding

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