Dysfunctional uterine bleeding: Difference between revisions
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==Sources== | ==Sources== | ||
UpToDate - Management of Abnormal Uterine Bleeding | *UpToDate - Management of Abnormal Uterine Bleeding | ||
eMedicine - Dysfunctional Uterine Bleeding in Emergency Medicine Treatment & Management | *eMedicine - Dysfunctional Uterine Bleeding in Emergency Medicine Treatment & Management | ||
Revision as of 20:14, 19 February 2015
Terms
- Menorrhagia - > 7 d (prolonged) or > 80 ml/d (excessive) uterine bleeding; regular intervals
- Metrorrhagia - irregular intervals, more frequent than nl bleeding
- Menometrorrhagia - Prolonged or excessive; irregular intervals
- Intermenstrual bleeding - variable amounts between regular menstrual periods
- Midcycle spotting - spotting just before ovulation (due to decline in estrogen)
- Postmenopausal bleeding - recurrence of bleeding after menopause
Workup
- R/o pregnancy, CBC, TSH
- Coags if suspected liver disease or other coagulopathy
- Pelvic US
Treatment
- Heavy bleed
- Fluid admin
- Estrogen-progestin OCP until gyn f/u
- Severe
- Maintain hemodynamics
- Consider IV conjugated estrogen (Premarin) 25 mg IV q4-6 hrs until bleeding stops
- Continued severe bleeding requires D&C
Sources
- UpToDate - Management of Abnormal Uterine Bleeding
- eMedicine - Dysfunctional Uterine Bleeding in Emergency Medicine Treatment & Management