Dysfunctional uterine bleeding history and symptoms: Difference between revisions
No edit summary |
→History: added more required history |
||
| Line 12: | Line 12: | ||
obtaining a detailed history in cases of dysfunctional uterine bleeding can aide in diagnosis of the underlying cause. Patients should be asked about: | obtaining a detailed history in cases of dysfunctional uterine bleeding can aide in diagnosis of the underlying cause. Patients should be asked about: | ||
# Menstrual History <ref name="pmid30422508">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30422508 | doi= | pmc= | url= }} </ref> | #Menstrual History <ref name="pmid30422508">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30422508 | doi= | pmc= | url= }} </ref> | ||
#* Last Menstrual Period | #*Last Menstrual Period | ||
#* Age at menarche | #*Age at menarche | ||
#* Frequency, duration and regularity of bleeding as well as the volume | #*Frequency, duration and regularity of bleeding as well as the volume | ||
#** Frequency can be described as: | #**Frequency can be described as: | ||
#*** Normal (24 to 38 days) | #***Normal (24 to 38 days) | ||
#*** Frequent (less than 24 days) | #***Frequent (less than 24 days) | ||
#*** Infrequent (greater than 38 days) | #***Infrequent (greater than 38 days) | ||
#** Duration can be described as: | #**Duration can be described as: | ||
#*** Normal (approximately 4 to 8 days) | #***Normal (approximately 4 to 8 days) | ||
#*** Prolonged (greater than 8 days) | #***Prolonged (greater than 8 days) | ||
#*** Shortened (less than 4 days) | #***Shortened (less than 4 days) | ||
#** Regularity can be described as: | #**Regularity can be described as: | ||
#*** Regular (with a variation of +/- 2 to 7 days) | #***Regular (with a variation of +/- 2 to 7 days) | ||
#*** Absent | #***Absent | ||
#*** Irregular (variation greater than 20 days) | #***Irregular (variation greater than 20 days) | ||
#** Volume can be described as: | #**Volume can be described as: | ||
#** Normal (5 to 80 mL) | #**Normal (5 to 80 mL) | ||
#** Heavy (greater than 80 mL) | #**Heavy (greater than 80 mL) | ||
#** Light (less than 5 mL of blood loss) | #**Light (less than 5 mL of blood loss) | ||
#** Patients should be asked about frequent changes of sanitary products and passage of clots | #**Patients should be asked about frequent changes of sanitary products and passage of clots | ||
#* Presence of inter menstrual and postcoital bleeding | #*Presence of inter menstrual and postcoital bleeding | ||
# | #Sexual and Reproductive History | ||
#*Previous pregnancies and route of delivery | |||
#*Fertility desire and difficulty achieving it | |||
#*Contraceptive use | |||
#*History of STI's | |||
#*Abnormal findings on previous Pap smear | |||
#Systematic Changes | |||
#*Changes in weight (especially weight loss indicating an underlying malignancy) | |||
#*Pain | |||
#*Bowel and bladder changes | |||
#*Symptoms of endocrine disorders | |||
#Drug history that must be inquired about: | |||
#*anticoagulants | |||
#*hormonal medications such as Tamoxifen or hormonal replacement therapy | |||
#*hormonal contraceptives and intrauterine devices | |||
#*dopamine agonists | |||
#Family History | |||
#*Coagulopathies | |||
#*Malignancies | |||
#Social History | |||
#*Tobacco | |||
#*Alcohol | |||
#*Recreational drug use | |||
#*Occupation | |||
#Surgical History | |||
# | |||
==Symptoms== | ==Symptoms== | ||
Revision as of 07:24, 9 March 2022
Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.
|
Dysfunctional uterine bleeding Microchapters |
|
Differentiating Dysfunctional uterine bleeding from other Diseases |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Dysfunctional uterine bleeding history and symptoms On the Web |
|
American Roentgen Ray Society Images of Dysfunctional uterine bleeding history and symptoms |
|
Dysfunctional uterine bleeding history and symptoms in the news |
|
Blogs on Dysfunctional uterine bleeding history and symptoms |
|
Directions to Hospitals Treating Dysfunctional uterine bleeding |
|
Risk calculators and risk factors for Dysfunctional uterine bleeding history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Arooj Naz, Vishnu Vardhan Serla M.B.B.S. [2]
Overview
Assessment of anovulatory DUB should always start with a good medical history and physical examination. Laboratory assessment of hemoglobin, luteinizing hormone (LH), follicle stimulating hormone (FSH), prolactin, T4, thyroid stimulating hormone (TSH), pregnancy (by βhCG), and androgen profile should also happen. More extensive testing might include an ultrasound and endometrial sampling.
History
obtaining a detailed history in cases of dysfunctional uterine bleeding can aide in diagnosis of the underlying cause. Patients should be asked about:
- Menstrual History [1]
- Last Menstrual Period
- Age at menarche
- Frequency, duration and regularity of bleeding as well as the volume
- Frequency can be described as:
- Normal (24 to 38 days)
- Frequent (less than 24 days)
- Infrequent (greater than 38 days)
- Duration can be described as:
- Normal (approximately 4 to 8 days)
- Prolonged (greater than 8 days)
- Shortened (less than 4 days)
- Regularity can be described as:
- Regular (with a variation of +/- 2 to 7 days)
- Absent
- Irregular (variation greater than 20 days)
- Volume can be described as:
- Normal (5 to 80 mL)
- Heavy (greater than 80 mL)
- Light (less than 5 mL of blood loss)
- Patients should be asked about frequent changes of sanitary products and passage of clots
- Frequency can be described as:
- Presence of inter menstrual and postcoital bleeding
- Sexual and Reproductive History
- Previous pregnancies and route of delivery
- Fertility desire and difficulty achieving it
- Contraceptive use
- History of STI's
- Abnormal findings on previous Pap smear
- Systematic Changes
- Changes in weight (especially weight loss indicating an underlying malignancy)
- Pain
- Bowel and bladder changes
- Symptoms of endocrine disorders
- Drug history that must be inquired about:
- anticoagulants
- hormonal medications such as Tamoxifen or hormonal replacement therapy
- hormonal contraceptives and intrauterine devices
- dopamine agonists
- Family History
- Coagulopathies
- Malignancies
- Social History
- Tobacco
- Alcohol
- Recreational drug use
- Occupation
- Surgical History