Abnormal Uterine Bleeding Gynecological Causes Increased bleeding with menses polyps adenomyosis leiomyomata endometriosis...
Abnormal Uterine Bleeding
Gynecological Causes
Increased bleeding with menses
- polyps
- adenomyosis
- leiomyomata
- endometriosis
- IUD
Bleeding following a missed period
- ectopic pregnancy
- abortion - missed, threatened, inevitable, incomplete, or complete
- implantation bleed
- trophoblastic disease
- placental polyp
Irregular bleeding
- dysfunctional uterine bleeding
- polycystic ovarian disease
- vulvovaginitis
- PID
- benign or malignant tumours of vulva, vagina, cervix, or uterus
- ovarian malignancy
- anovulation (e.g. stress amenorrhea)
- oral contraceptive use
- polyps
Postmenopausal bleeding
- endometrial ca until proven otherwise
- atrophic vaginitis (most common cause)
- ovarian malignancy
- benign or malignant tumours of vulva, vagina or cervix
- withdrawal from exogenous estrogens
- atrophic endometrium
- endometrial/endocervical polyps
- endometrial hyperplasia
- trauma
- polyps
- lichen sclerosis
Non-Gynecological Causes
- thyroid disease (hyper-/hypo- thyroid)
- chronic liver disease
- von Willebrand disease l
- eukemia
- idiopathic thrombocytopenic purpura
- hypersplenism
- rectal or urethral bleeding
- renal failure
- adrenal insufficiency and excess
- drugs: spironolactone, danazol, psychotropic agents
- metastatic cancer
