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Chapter-13 Abnormal Uterine Bleeding and Abnormalities of Menstruation

BOOK TITLE: A Comprehensive Textbook of Obstetrics & Gynecology

Author
1. Gupta Sadhana
ISBN
9789350251126
DOI
10.5005/jp/books/11278_13
Edition
1/e
Publishing Year
2011
Pages
11
Author Affiliations
1. Ultrasound, Infertility and In Vitro Fertilization (IVF) Specialist, Jeevan Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Gorakhpur, Uttar Pradesh, Bombay Hospital, Mumbai, Jeevan Jyoti Hospital and Medical Research Center and Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, UP, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI 2011–2013; Jeevan Jyoti Hospital and Medical Research Center, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Center, Jeevan Jyoti Test Tube Baby Center, Gorakhpur, Uttar Pradesh, India, Jeevan-Jyoti Hospital, Gorakhpur, Uttar Pradesh, India, Jeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India; FOGSI 2016, Jeeevan Jyoti Hospital and Medical Research Centre, Gorakhpur, Uttar Pradesh, India, FOGSI, 2016, FOGSI Representative to SAFOG, 2018-20; Safe Motherhood Committee, FOG
Chapter keywords

Abstract

Abnormal uterine bleeding can affect female of all ages. This chapter details terminology and classification of abnormal uterine bleeding followed by evaluation protocol. Pelvic ultrasound, hysteroscopy, and endometrial biopsy are important diagnostic tool. Principles of management are to diagnose type of AUB, rule out pathological condition and tailored therapy. Treatment options are symptomatic, non specific therapy, various combination and type of hormone therapy and surgical management like D and C, endometrial ablation, and hysterectomy. Postmenopausal bleeding warrants full evaluation to rule out malignancy, which is detailed in the chapter. Pathogenesis, diagnosis and management of premenstrual syndrome and dysmenorrhoea are summarized in the chapter with clear guidelines.

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