Dysfunctional uterine bleeding differential diagnosis

Dysfunctional uterine bleeding Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Dysfunctional uterine bleeding from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Ultrasound
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Dysfunctional uterine bleeding differential diagnosis On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Dysfunctional uterine bleeding differential diagnosis All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Dysfunctional uterine bleeding differential diagnosis
CDC on Dysfunctional uterine bleeding differential diagnosis
Dysfunctional uterine bleeding differential diagnosis in the news
Blogs on Dysfunctional uterine bleeding differential diagnosis
Directions to Hospitals Treating Dysfunctional uterine bleeding
Risk calculators and risk factors for Dysfunctional uterine bleeding differential diagnosis

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

• 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