Perimenopausal AUB

Perimenopausal AUB
S.Salehpour
Associate professor, Medical director

IVF  Center. SBMU

2012

AUB

-70% of gynecological visit In peri and post menopause

- Dysfunction of hypothalamic – pituitary – ovarian axis        Anovulation           AUB

-Bleeding after menopause        benign disease (atrophy of endometrium, endometrial polyps)  

Malignant causes

1- endometrial carcinoma

2- estrogen producing ovarian ca 

3- vulvar , vag , cervical ca

4- Fallopian ca

Benign Disorders

The management of bleeding caused by atrophic vaginitis includes topical (vaginal) or systemic use of estrogens after other causes of abnormal bleeding are excluded.