Office Diagnosis and Management of Abnormal Uterine Bleeding

Department of Obstetrics and Gynecology, New York University School of Medicine, New York, New York, USA.
Clinical obstetrics and gynecology (Impact Factor: 1.77). 09/2012; 55(3):635-50. DOI: 10.1097/GRF.0b013e31825d3cec
Source: PubMed


Abnormal uterine bleeding is one of the most common presenting complaints encountered in a gynecologist's office or primary care setting. The availability of diagnostic tools, such as ultrasound, endometrial sampling, and diagnostic hysteroscopy has made it possible to promptly diagnose and treat an increasing number of menstrual disorders in an office setting. The incorporation of newer medical therapies: antifibrinolytic drugs, shorter hormone-free interval oral contraceptive pills, and levonorgestrel inserts along with office minimally invasive treatments operative hysteroscopy and endometrial ablations have proven to be powerful therapeutic arsenals to provide short-term relief of abnormal uterine bleeding, and potentially, avoiding or delaying the hysterectomy.

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