Dr. Reenie Devadasan*
Abnormal vaginal bleeding could be from any part of the genital tract and
Polymenorrhoea -Shortened Cycles _ HPO axis dysfunction, PID.
Metrorrhoea -Intermenstrual bleeding _ Uterine polypi, erosion cervix, cancer cervix, cancer body.
Continuous bleeding -Abortion, ectopic, cancer cervix, polypi, metropathia, haemorrhagica.
Post menopausal bleeding -Bleeding from genital tract in a woman of post menopausal age whohas not had a period during the past six months _ 50-60% due to malignancy.
While investigating and managing a patient who presents with abnormal vaginal bleeding the following protocol may be followed:
Only as the last resort.
Caution : Think of bleeding disorders and investigate if necessary.
Avoid unnecessary investigations (T4, TSH, FSH, LH) unless strongly suspect.
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