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Evaluation of patients with abnormal uterine bleeding

Article Abstract:

It may be advisable to systematically perform screening tests and procedures when identifying the cause of a patient's abnormal menstrual bleeding. Preliminary evaluation should include a pelvic and physical examination combined with a thorough medical history highlighting previous bleeding episodes. Routine tests should include a pregnancy test if the patient is of child-bearing age, blood cell count and coagulation tests, liver and thyroid tests, and hormone tests. The results of these baseline tests may indicate a need for further ultrasound scans, tissue sampling, or inspection of the uterine lining.

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Screening and diagnosis of coagulation disorders

Article Abstract:

A sequential series of procedures and screening tests should help doctors identify the cause of a patient's abnormal menstrual bleeding. The number of possible causes can be narrowed by an office examination and review of family history and history of bleeding with previous injuries. Routine blood tests may reveal blood cell or coagulation abnormalities. Evidence of coagulation abnormalities should prompt further tests to identify more clearly the precise condition type in order to tailor an appropriate treatment. A D-dimer test may help identify patients with blood clots in their bloodstream.

Blood clotting disorders, Blood coagulation disorders

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A prospective study of transvaginal hydrosonography in the evaluation of abnormal uterine bleeding

Article Abstract:

Transvaginal hydrosonography may be effective in diagnosing the cause of uterine bleeding. In this technique, the uterus is filled with a saline solution and an ultrasonic probe is inserted into the vagina. Researchers used this technique on 39 women with abnormal uterine bleeding who then had further examinations to determine the exact cause of the bleeding. These examinations revealed that transvaginal hydrosonography effectively identified all 12 women who had a uterine mass and ruled out a mass in the remaining women.

Evaluation, Ultrasound imaging

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