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by Sudhir R Shah, Beena N Trivedi, Dipal D Solanki, Chaitra Sathyanarayana
The most common times that women experience heavy or prolonged menstrual periods are during the first few years of menstruation at adolescence and during the final two to three years of menstruation just before menopause. Abnormal uterine bleeding is any type of bleeding from the vagina that is not normal. This may mean bleeding at times of the month other than the regular period, or that the period is unusually heavy. The need to change a pad or tampon more than once every 1-2 hours indicates that the period is unusually heavy. If the period lasts more than 7 days or fewer than 2 days, this is also abnormal uterine bleeding. Although abnormal uterine bleeding is most common in the pubertal and perimenopausal period, vaginal bleeding in girls before the onset of the menses is abnormal. In postmenopausal women, vaginal bleeding that persists for 12 months after the cessation of the menses is abnormal. Women and abnormal uterine bleeding: some facts and statistics: (i) Menstrual disorders were the reason for 19.1% of 20.1 million visits to physician offices for gynecologic conditions over a 2-year period. (ii) A reported 25% of gynecologic surgeries are done for abnormal uterine bleeding. (iii) In girls who experience abnormal uterine bleeding before the onset of menstruation, many cases involve lesions of the reproductive system, and some of these lesions may be malignant. In these cases, a thorough evaluation must be done. (iv) Menstrual irregularities are associated with thyroid disease. Through this book, we have tried to provide an ‘easy-to-understand’ overview of the current and important aspects of abnormal uterine bleeding, one of the most common complaints facing gynecologists and among the leading reasons for hysterectomy. Besides providing an insight into the varied causes of abnormal uterine bleeding and its conventional management, we have also focused on the rapidly evolving field of conservative and noninvasive modalities for the management of abnormal and heavy vaginal bleeding. This book can act as a ready reference in the consulting room for all practicing gynecologists and will also prove helpful to postgraduate and undergraduate medical students.
|Chapter-01 Menstruation—The Basics||1-16|
|Chapter-02 Abnormal Uterine Hemorrhage—Etiopathology||17-36|
|Chapter-03 Abnormal Uterine Hemorrhage—Diagnosis and Medical Management||37-66|
|Chapter-04 Surgical Management of Abnormal Uterine Hemorrhage||67-88|
|Chapter-05 Non-descent Vaginal Hysterectomy||89-108|
|Chapter-06 Laparoscopic Hysterectomy||109-120|
|Chapter-07 Amenorrhea and Scanty Periods||121-152|
|Chapter-08 Surgical Gallery||153-164|
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