Non-medical approach to AUB

Non-medical approach to AUB

Dr Farah Farzaneh

Gyn-oncologist

SBMU Nov 2012

AUB

• problems relating to pregnancy

• Infection

• Vaginal/ cervical abnormalities

• Benign/malignant uterine neoplasia

• Coagulopathies

• Endocrine disorders

• Trauma

• foreign bodies

• systemic disease

• medications.

• The most common causes vary with age

• Premenarche
  • • foreign bodies, trauma, infection
    • postmenarche adolescents
    • Anovulatory, coagulopathies, infections, preg

• Reproductive
  • • Anovulation, hormonal contraception, preg, infections, endocrine disorders, polyps myomas

• Perimenopause
  • • Anovulation, benign uterine neoplasia, endo hyperplasia

• Menopause
  • • vaginal/endometrial atrophy,HRT, 10% EnCa

Dx

• Anovulatory bleeding
  • • irregular, infrequent, unpredictable, variable in amount, duration, character, most  in adolescents and aging women, obese, PCO

• Anatomic abnormality>anovulation
  • • Regular,predictable ,increasingly heavy or prolonged periods or new onset of episodic IMB

• Intrauterine pathology
  • • Recurrent IMB

• Preg complication
  • • sudden departure from a nml menses: