Abnormal premenopausal bleeding (increased or irregular)
DDx
- Ovulation bleeding (spotting episode between menses)
- Anovulatory cycle (dysfunctional uterine bleeding)
- Polycystic ovary syndrome (type of anovulatory cycle)
- Pregnancy
- Ectopic pregnancy
- Spontaneous abortion
- Uterine leiomyomas (fibroids)
- Endometrial polyp
- Cervicitis or pelvic inflammatory disease
- Adenomyosis (uterine endometriosis)
- Cervical cancer
- Cervical polyp
- Endometrial hyperplasia
- Endometrial cancer
- Hypothyroidism
- Hyperprolactinemia
- Diabetes mellitus
- Bleeding disorder, eg, von Willebrand’s disease
- Hydatidiform mole
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Last updated: December 1, 2014
Citation
Zeiger, Roni F.. "Abnormal Premenopausal Bleeding (increased or Irregular)." Diagnosaurus, 4th ed., McGraw-Hill Education, 2014. Emergency Central, emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114516/all/Abnormal_premenopausal_bleeding__increased_or_irregular_.
Zeiger RFR. Abnormal premenopausal bleeding (increased or irregular). Diagnosaurus. McGraw-Hill Education; 2014. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114516/all/Abnormal_premenopausal_bleeding__increased_or_irregular_. Accessed October 13, 2024.
Zeiger, R. F. (2014). Abnormal premenopausal bleeding (increased or irregular). In Diagnosaurus (4th ed.). McGraw-Hill Education. https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114516/all/Abnormal_premenopausal_bleeding__increased_or_irregular_
Zeiger RFR. Abnormal Premenopausal Bleeding (increased or Irregular) [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2014. [cited 2024 October 13]. Available from: https://emergency.unboundmedicine.com/emergency/view/Diagnosaurus/114516/all/Abnormal_premenopausal_bleeding__increased_or_irregular_.
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