Dysfunctional uterine bleeding differential diagnosis: Difference between revisions
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Revision as of 21:27, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
Differential Diagnosis
- Anatomic or structural lesions
- Uterine or cervical polyps
- Uterine leiomyoma
- Foreign body
- Coagulation disorders
- Clotting factor disorder: Hemophilia, hepatic disease, anticoagulant use, renal disease, Von Willebrand's Disease
- Platelet dysfunction: Leukemia, Thrombocytopenia, and related medications
- Pregnancy complications
- Placental abruption
- Ectopic Pregnancy
- Miscarriage
- Spontaneous abortion
- Placenta previa
- Endometrial cancer
- Risk Factors:
- Diabetes Mellitus
- Unopposed estrogen
- Obesity
- Older age
- Chronic anovulation
- Hypertension
- Risk Factors:
- Endometrial hyperplasia
- Exogenous extrogen
- Excess of endogenous estrogen
- DUB (dysfunctional uterine bleeding) is a diagnosis of exclusion
- Endometrioma
- Hyperprolactinemia
- Hypo- or Hyperthyroidism
- Hypothalamic lesion
- Medications (e.g., Norepinephrine)
- Nonuterine bleeding
- Rectal
- Urinary
- Vaginal
- Cervical
- Other malignancy
- Pelvic infection
- Polycystic Ovarian Syndrome (Stein Leventhal Syndrome)
- Systemic disease
- Anorexia Nervosa
- Immature hypothalamic-pituitary-ovarian axis
- Intense exercise
- Nutritional status (Very low calorie diets)
- Peri-menopause
- Psychologic stress [1]
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016