< Obstetrics and Gynecology
Menorrhagia is defined by the Royal College of Obstetricians and Gynaecologists as "a history of heavy cyclical menstrual blood loss over several consecutive cycles without any intermenstrual or postcoital bleeding".
Etiology
The etiology of menorrhagia can be divided into its gynecological and systemic causes:
Gynecological Causes:
- Polyps
- Fibroids
- Endometrial carcinoma
- Pelvic Inflammatory Disease
- Dysfunctional uterine bleeding
Systemic causes
- Coagulopathies
- Hypothyroidism
Diagnosis
The diagnosis of menorrhagia is made using the following clinical skills:
- Gynecological History Taking
- Gynecological Examination
- Gynecological Investigations
References
O'Connor, J. Pathology 2nd ed. Mosby. Edinburgh. 2002.
McCarthy, A & Hunter, B (2003) Master Medicine: Obstetrics and Gynaecology (2nd ed.) Philadelphia: Elsevier Saunder
www.gpnotebook.co.uk
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