Vaginal bleeding (main): Difference between revisions
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*Undifferentiated vaginal bleeding is normally approached by rapidly determining pregnancy status and, if pregnant, estimated gestation age | *Undifferentiated vaginal bleeding is normally approached by rapidly determining pregnancy status and, if pregnant, estimated gestation age | ||
*Subsequent workup is then performed based on these factors | *Subsequent workup is then performed based on these factors | ||
{{Vaginal bleeding definitions}} | |||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 18:23, 12 January 2021
Background
- Undifferentiated vaginal bleeding is normally approached by rapidly determining pregnancy status and, if pregnant, estimated gestation age
- Subsequent workup is then performed based on these factors
Vaginal bleeding definitions
- Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals
- Metrorrhagia: irregular vaginal bleeding outside the normal cycle
- Menometrorrhagia: excessive irregular vaginal bleeding
- Intermenstrual bleeding: variable amounts between regular menstrual periods
- Midcycle spotting: spotting just before ovulation (due to decline in estrogen)
- Polymenorrhea: frequent and light bleeding
- Postcoital bleeding: vaginal bleeding after intercourse, suggesting cervical pathology
- Postmenopausal bleeding: recurrence of bleeding >6 mo after menopause
- Amenorrhea: bleeding that is absent for > 6 months
Clinical Features
- Vaginal bleeding
Differential Diagnosis
Vaginal bleeding (main)
Evaluation
Workup
- Pregnancy test (urine or serum)
- Hemoglobin (CBC or POC)
- Consider type & screen
Diagnosis
See individual pages:
- Vaginal Bleeding (Non-Pregnant)
- Vaginal Bleeding Pregnant (less than 20wks)
- Vaginal Bleeding Pregnant (greater than 20wks)
- Post-Partum Hemorrhage
- Vaginal bleeding (peds)