Dysfunctional uterine bleeding history and symptoms

Please help WikiDoc by adding content here. It's easy! Click here to learn about editing.

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 history and symptoms 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 history and symptoms 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 history and symptoms
CDC on 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:

1. Menstrual History
   • 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
   • Presence of inter menstrual and postcoital bleeding