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Are there abnormalities on pelvic examination? A tubo-ovarian mass on pelvic examination should suggest salpingo-oophoritis, endometriosis with a chocolate cyst, or ectopic pregnancy. Perhaps the uterus is abnormal, in which case ... DIAGNOSTIC WORKUP
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Are there abnormalities found on the vaginal examination? An enlarged uterus suggests pregnancy, fibroids, retained secundina, hydatiform mole, choriocarcinoma, endometrial carcinoma, or endometrial polyp. An ... DIAGNOSTIC WORKUP
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Is there persistent or recurring abdominal or pelvic pain? The presence of pain with menorrhagia should make one suspect PID, endometriosis, and ectopic pregnancy.
Are there abnormalities on the pelvic examination? The pelvic examination ... DIAGNOSTIC WORKUP
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Dysmenorrhea, or painful menstruation, is one of the most common gynecologic complaints. It is divided into two broad categories: Primary dysmenorrhea refers to severe uterine cramping during ovulatory menses and in the absence of demonstrable pelvic disease; secondary dysmenorrhea is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... Visualizing the parts of the female reproductive system (see figure below), one can systematically formulate a differential diagnosis of this common malady.
DYSMENORRHEA
At the cervix, stenosis,
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... Dysmenorrhea — painful menstruation — affects more than 50% of menstruating women; in fact, it's the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull, aching pain. It's usually... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Metrorrhagia — uterine bleeding that occurs irregularly between menstrual periods — is usually light, although it can range from staining to hemorrhage. Usually, this common sign reflects slight physiologic bleeding from the endometrium during ovulation. However, metrorrhagia... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Dysmenorrhea — painful menstruation — is the most common gynecologic complaint and a leading cause of absenteeism from school (affecting 10% of high school girls each month) and work (causing about 140 million lost work hours... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Dysmenorrhea—painful menstruation—affects more than 50% of menstruating women; in fact, it’s the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull, aching pain. It’s... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Metrorrhagia—uterine bleeding that occurs irregularly between menstrual periods—is usually light, although it can range from staining to hemorrhage. Usually, this common sign reflects slight physiologic bleeding from the endometrium during ovulation. However,... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient’s normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A form of... Emergency Interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Albert A. Meyer
Approach Dysmenorrhea can be defined as a complaint of pain experienced during or immediately before menstruation. Up to 90% of women experience this symptom for some part in their lives (1). Risk factors include the concomitant... History (2) ... Physical examination ... Laboratory testing (3) ... Diagnostic assessment (1)
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... Albert A. Meyer
Approach Menorrhagia, defined as excessive bleeding from the uterus, is a common gynecologic complaint. Each year, 200,000 American women undergo hysterectomy for the treatment of menorrhagia.... History (2) ... Physical examination ... Testing ... Diagnostic assessment (3)
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... Dysmenorrhea—painful menstruation—affects more than 50% of menstruating women; in fact, it's the leading cause of lost time from school and work among women of childbearing age. Dysmenorrhea may involve sharp, intermittent pain or dull, aching pain. It's usually... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Metrorrhagia—uterine bleeding that occurs irregularly between menses—is usually light, although it can range from staining to hemorrhage. Usually, this common sign reflects slight physiologic bleeding from the endometrium during ovulation. However, metrorrhagia... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Abnormally heavy or long menstrual bleeding, menorrhagia may occur as a single episode or a chronic sign. In menorrhagia, bleeding is heavier than the patient's normal menstrual flow; menstrual blood loss is 80 ml or more per monthly period. A... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Visualizing the parts of the female reproductive system (see figure),
one can systematically formulate a differential diagnosis of this common
malady. At the cervix, stenosis, cervical polyps, and other neoplasms
may obstruct... Pictures
... READ EXCERPTS »
...Lindsey Albrecht, MD
What to Do - Interpret the Data
Menarche is often when the disease first presents in women.
vWDisthemostcommoninheritedbleedingdisorder,withaprevalence
of about 1.3% in the pediatric population. It can be caused by either a... Suggested Readings
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As many as 20 to 50 percent of all women develop fibroids. These benign muscle tumors usually grow in the uterus, and can cause pain, and in some...
Every year, thousands of woman suffering from abnormal uterine bleeding are told that their only option is hysterectomy. Some choose to undergo this...
Every year, thousands of woman suffering from abnormal uterine bleeding are told that their only option is hysterectomy. Some choose to undergo this...