90% anovulatory, 10% ovulatory Hypermenorrhea/Menorrhagia cyclic menstrual bleeding that is excessive in amount ...
- 90% anovulatory,
- 10% ovulatory
Hypermenorrhea/Menorrhagia
- cyclic menstrual bleeding that is excessive in amount (>80 mL) or duration (> 7 days)
- adenomyosis
- endometriosis
- leiomyomata
- endometrial hyperplasia or cancer
- hypothyroidism
Hypomenorrhea
- decreased menstrual flow or vaginal spotting
- BCP
Oligomenorrhea
- episodic vaginal bleeding occurring at intervals > 35 days
- usually associated with anovulation
Polymenorrhea
- episodic vaginal bleeding occurring at intervals < 21 days
- usually associated with anovulation
Metrorrhagia
- uterine bleeding occurring between periods
- organic pathology
- endometrial/cervical polyps or cancer
- anovulation
- estrogen withdrawal
Menometrorrhagia
- uterine bleeding irregular in frequency, and also excessive in amount
- organic pathology
- endocrine abnormality
- early pregnancy
Postmenopausal Bleeding
- any bleeding > 1 year after menopause investigations
- endometrial sampling - biopsy or D&C
- sonohystogram with possible ultrasound for endometrial thickness and polyps
- hysteroscopy
