Dysfunctional uterine bleeding history and symptoms: Difference between revisions
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==History== | ==History== | ||
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: | ||
<ref name="pmid26803558">{{cite journal| author=Whitaker L, Critchley HO| title=Abnormal uterine bleeding. | journal=Best Pract Res Clin Obstet Gynaecol | year= 2016 | volume= 34 | issue= | pages= 54-65 | pmid=26803558 | doi=10.1016/j.bpobgyn.2015.11.012 | pmc=4970656 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26803558 }} </ref> | |||
#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> | ||
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#*Changes in weight (especially weight loss indicating an underlying malignancy) | #*Changes in weight (especially weight loss indicating an underlying malignancy) | ||
#*Pain | #*Pain | ||
#*Bowel and bladder changes | #*Bowel and bladder changes <ref name="pmid30422508">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30422508 | doi= | pmc= | url= }} </ref> | ||
#*Symptoms of endocrine disorders | #*Symptoms of endocrine disorders | ||
#Drug history that must be inquired about: | #Drug history that must be inquired about: | ||
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#*Coagulopathies | #*Coagulopathies | ||
#*Malignancies | #*Malignancies | ||
#Social History | #Social History <ref name="pmid30422508">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30422508 | doi= | pmc= | url= }} </ref> | ||
#*Tobacco | #*Tobacco | ||
#*Alcohol | #*Alcohol | ||
Revision as of 07:25, 9 March 2022
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Dysfunctional uterine bleeding Microchapters |
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Differentiating Dysfunctional uterine bleeding from other Diseases |
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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: [1]
- Menstrual History [2]
- 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 [2]
- 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 [2]
- Tobacco
- Alcohol
- Recreational drug use
- Occupation
- Surgical History