Short Communication
Volume 9 Issue 9 - 2020
Abnormal Uterine Bleeding: Revisited
Grant Medical College, Mumbai, India
*Corresponding Author: Sachin Vijay Naiknaware, Grant Medical College, Mumbai, India.
Received: March 12, 2020; Published: August 05, 2020
All abnormal patterns of bleeding that may results from wide verity of causes is called as abnormal uterine bleeding is commonly caused by an-ovulation, pregnancy, uterine pathology and coagulopathies [1].
It is a common problem encountered by women of all ages and it is responsible for around 20 - 30% of visits to OPD in reproductive age groups and 69% in peri and postmenopausal age groups.
For abnormal uterine bleeding usually no specific cause is found and it is often implied that the cycle is anovulatory and abnormal uterine bleeding is a diagnosis of exclusion. In anovulatory cycles due to absence of progesterone endometrium is exposed to unopposed oestrogen, the endometrium grows without regular shedding and there is breakdown of endometrial tissue known as breakthrough bleeding [2].
References
- American college of obstetrics and gynaecologist. Management of anovulatory bleeding. ACOG practice bulletin”. Washington DC, ACOG 14 (2000).
- Fritz MA and Speroff L. “Clinical Gynaecology endocrinology and infertility (8th edition) Philadelphia: workers Kluwer health Lipinkott, Williams and Wilkins (2011).
- Munro MG., et al. “FIGO classification system (PALM-COIEN) for causes of abnormal uterine bleeding in non gravid women of reproductive age”. International Journal of Gynecology and Obstetrics 113 (2011): 3-13.
- Sweet MG., et al. “Evaluation and management of abnormal uterine bleeding in premenopausal women”. American Family Physician 1 (2012): 35-43.
- Pourcelot AG., et al. “Place of ulipristal acetate in the management of uterine fibroids, preoperative treatment or sequential treatment?” Journal of Gynecology Obstetrics and Human Reproduction 3 (2017): 249-254.
- Louie M., et al. “Comparison of levonorgesterol releasing intrauterine system , hysterectomy and endometrial ablation for heavy menstrual bleeding in a decision analysis model”. International Journal of Gynecology and Obstetrics 2 (2017): 121-129.
- Yasmin S., et al. “Microwave endometrial ablation as an alternative to hysterectomy for the emergent control of uterine bleeding in a patients who are poor surgical candidates”. Archives of Gynecology and Obstetrics 2 (2009): 279-282.
- De Bruijn AM., et al. “Uterine artery embolisation for symptomatic adenomyosis:7 year clinical follow up”. Cardio Vascular and Interventional Radiology 9 (2017): 1344-1350.
- Hesley GK., et al. “A clinical review of focussed ultrasound ablation with magnetic resonance guidance ;an option for treating uterine fibroids”. Ultrasound Q4 (2008): 394-405.
Citation: Sachin Vijay Naiknaware. “Abnormal Uterine Bleeding: Revisited”. EC Gynaecology 9.9 (2020): 34-38.
Copyright: © 2020 Sachin Vijay Naiknaware. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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