Management Of Abnormal Uterine Bleeding

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Modern Management Of Abnormal Uterine Bleeding

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Author : Peter O'Donovan
language : en
Publisher: CRC Press
Release Date : 2008-04-02

Modern Management Of Abnormal Uterine Bleeding written by Peter O'Donovan and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-04-02 with Medical categories.

Modern Management of Abnormal Uterine Bleeding focuses on helping gynecologists refine their operative techniques and consider new approaches to the diagnosis, and treatment, of this highly challenging condition by investigating: · current scientific and clinical trails · varying menstruation conditions · less evasive management options versus surgical options · definitive surgical corrections · new forms of conservative therapy Written by an internationally recognized team of experts and filled with scientific diagrams, photos, and illustrations, this cutting-edge new text covers the full range of surgical and medical treatments for menorrhagia, including the full rage of ablation corrections in an easy to read step-by-step format.

Management Of Abnormal Uterine Bleeding

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Author : Mark Gibson
language : en
Publisher:
Release Date : 2005

Management Of Abnormal Uterine Bleeding written by Mark Gibson and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2005 with Preeclampsia categories.

Clinical Gynecology

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Author : Eric J. Bieber
language : en
Publisher: Cambridge University Press
Release Date : 2015-04-23

Clinical Gynecology written by Eric J. Bieber and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-04-23 with Medical categories.

Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.

Primary Care Management Of Abnormal Uterine Bleeding

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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-05-28

Primary Care Management Of Abnormal Uterine Bleeding written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-28 with Medical categories.

Abnormal uterine bleeding (AUB) is among the most common gynecologic complaints of reproductive-age women in ambulatory care settings. It is estimated to affect 11 to 13% of reproductive-age women at any given time. Prevalence increases with age, reaching 24% in women aged 36 to 40. Women generally present for care because the amount, timing, or other characteristics of the bleeding have changed from their individual norm. Population norms for menstrual bleeding, as established by 5th and 95th percentiles, are: Frequency of menses within a 24- to 38-day window; Regularity (i.e., cycle-to-cycle variation) within 2 to 20 days; Duration of flow from 4 to 8 days; Blood loss volume from 5 to 80 ml. Symptoms outside this normal range, or different from normal for the individual, can become problematic and deserve evaluation because they can warn of underlying conditions. Common problems include worry about the cause, embarrassment if the bleeding includes flooding-type bleeding with saturation of clothing, missed work and responsibilities, limitations of social activities and exercise, decreases or changes in sexual activity, and frustration with costs of sanitary protection. Collectively, the effects of troublesome bleeding reduce quality of life and drive desire for information about causes and treatment options. There is not a clear consensus on the clinical evaluation of a patient presenting with abnormal bleeding. Recommendations suggest that initial evaluation confirm the source and timing of bleeding, and exclude certain architectural etiologies (e.g., fibroids, polyps), cancer and precancerous changes in the cervix or uterus, coagulation defects, and systemic disease. The 2011 International Federation of Gynecology and Obstetrics (FIGO) classification recommends a structured history followed by uterine evaluation. In the research setting, the alkaline hematin method is the preferred technique for direct measurement of total menstrual blood loss (MBL). The pictorial blood loss assessment chart is a semi-quantitative tool for uniform reporting of bleeding as represented by the degree of saturation of sanitary pads and tampons. Diagnostic tools and evaluation strategies are not within the scope of this review; however, the review captures the operational definitions used by researchers and addresses applicability of the findings to contemporary practice. The literature reflects various management options for women with AUB with conflicting recommendations/summaries. Interventions of interest for this review include medical, complementary and alternative medicine, and behavioral/lifestyle interventions. This review is focused on the evidence available to inform selection of nonsurgical options to treat AUB with an emphasis on interventions that are accessible to and within the scope of usual practice for primary care practitioners in a clinical care setting. Key Questions addressed include: KQ 1A: What is the evidence for the effectiveness of medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) for improving short and long-term outcomes in women with irregular uterine bleeding? KQ 1B: What is the evidence for the effectiveness of medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) for improving short and long-term outcomes in women with abnormal cyclic uterine bleeding? KQ 2: What are the harms, including adverse events, associated with medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) in women with irregular uterine bleeding or abnormal cyclic uterine bleeding?

Clinical Management Of Abnormal Uterine Bleeding

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Author : Roger P. Smith
language : en
Publisher:
Release Date : 2002

Clinical Management Of Abnormal Uterine Bleeding written by Roger P. Smith and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2002 with categories.

Contemporary Management Of Abnormal Uterine Bleeding

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Author :
language : en
Publisher:
Release Date : 2000

Contemporary Management Of Abnormal Uterine Bleeding written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with categories.

Contemporary Management Of Abnormal Uterine Bleeding

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Author : Jay M. Cooper
language : en
Publisher:
Release Date : 2000

Contemporary Management Of Abnormal Uterine Bleeding written by Jay M. Cooper and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Uterine hemorrhage categories.

Primary Care Management Of Abnormal Uterine Bleeding

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Author :
language : en
Publisher:
Release Date : 2013

Primary Care Management Of Abnormal Uterine Bleeding written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.

Primary Care Management Of Abnormal Uterine Bleeding

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Author : Katherine E. Hartmann
language : en
Publisher:
Release Date : 2013

Primary Care Management Of Abnormal Uterine Bleeding written by Katherine E. Hartmann and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.

OBJECTIVE: The Vanderbilt Evidence-based practice Center systematically reviewed evidence about interventions for symptomatic abnormal uterine bleeding (AUB), both irregular and cyclic. We focused on interventions that are suitable for use in primary care practice including medical, behavioral, and complementary and alternative medicine approaches. DATA SOURCES: We searched MEDLINE(r), CINAHL(r), and Embase for randomized controlled trials (RCTs) published in English from January 1980 to June 2012 in women with symptomatic AUB. We also searched regulatory data and scientific publications for data about harms. REVIEW METHODS: Using dual review with a priori criteria, we excluded 1,734 publications because they did not address a Key Question, were not an eligible study design, or did not apply to the primary care treatment of AUB. RESULTS: Thirty-nine RCTs (6 good quality, 10 fair quality, and 23 poor quality) evaluated 12 distinct interventions. These included 7 studies of the levonorgestrel-releasing intrauterine system (LNG-IUS), 13 of nonsteroidal anti-inflammatory drugs (NSAIDs), 6 of tranexamic acid (TXA), and 5 of combined oral contraceptive pills (COCs). The majority of studies made direct comparisons to other drugs. Ten studies enrolled women with irregular uterine bleeding; the remainder focused on women with heavy cyclic bleeding. Among women with irregular menses, metformin, metformin with exenatide, and a tricyclic oral contraceptive improved menstrual regularity. Among women with heavy, cyclic menstrual bleeding all seven studies of LNG-IUS favored the intrauterine system in comparisons that included NSAIDs, COCs, progestogens and usual care. Reduction in menstrual blood loss ranged from 70 to 87 percent less bleeding than baseline. NSAIDs reduced bleeding in six of six studies when compared with placebo or progestogens. The degree of improvement was highly variable for individual women. TXA was more effective than progestogens and NSAIDs in three of four studies, and COCs provided benefit compared with placebo in two studies. Harms were rare and trials underpowered to assess harms for all interventions. For most interventions, surveillance studies of longer-term risks were not done in comparable populations. CONCLUSIONS: Two interventions for irregular bleeding (metformin, COCs) and four for heavy cyclic bleeding (LNG-IUS, NSAIDs, TXA) have low or moderate strength of evidence for effectiveness, while COCs have high strength of evidence. Several common interventions (including diet and exercise and acupuncture) lack sufficient evidence. Across interventions, data are sparse to evaluate long-term improvements and risk of harms. Limitations include a predominance of small, short trials lacking standard terminology and diagnostic criteria for identifying and including women with AUB. Tools for collecting outcome data are crude (e.g., collection of sanitary products to measure blood loss) and may contribute to a high rate of attrition. Emphasis on biologic outcomes may neglect the importance of patient-reported outcomes that assess whether symptoms are considered resolved by women themselves.

Step By Step Management Of Abnormal Uterine Hemorrhage

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Author : Shah Sudhir R
language : en
Publisher: Jaypee Brothers Medical Pub
Release Date : 2010-06-30

Step By Step Management Of Abnormal Uterine Hemorrhage written by Shah Sudhir R and has been published by Jaypee Brothers Medical Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-06-30 with Medical categories.

The most common times that women experience heavy or prolonged menstrual periods are during the first few years of menstruation at adolescence and during the final two to three years of menstruation just before menopause. Abnormal uterine bleeding is any type of bleeding from the vagina that is not normal. This may mean bleeding at times of the month other than the regular period, or that the period is unusually heavy. The need to change a pad or tampon more than once every 1-2 hours indicates that the period is unusually heavy. If the period lasts more than 7 days or fewer than 2 days, this is also abnormal uterine bleeding. Although abnormal uterine bleeding is most common in the pubertal and perimenopausal period, vaginal bleeding in girls before the onset of the menses is abnormal. In postmenopausal women, vaginal bleeding that persists for 12 months after the cessation of the menses is abnormal. Women and abnormal uterine bleeding: some facts and statistics: (i) Menstrual disorders were the reason for 19.1% of 20.1 million visits to physician offices for gynecologic conditions over a 2-year period. (ii) A reported 25% of gynecologic surgeries are done for abnormal uterine bleeding. (iii) In girls who experience abnormal uterine bleeding before the onset of menstruation, many cases involve lesions of the reproductive system, and some of these lesions may be malignant. In these cases, a thorough evaluation must be done. (iv) Menstrual irregularities are associated with thyroid disease. Through this book, we have tried to provide an ‘easy-to-understand’ overview of the current and important aspects of abnormal uterine bleeding, one of the most common complaints facing gynecologists and among the leading reasons for hysterectomy. Besides providing an insight into the varied causes of abnormal uterine bleeding and its conventional management, we have also focused on the rapidly evolving field of conservative and noninvasive modalities for the management of abnormal and heavy vaginal bleeding. This book can act as a ready reference in the consulting room for all practicing gynecologists and will also prove helpful to postgraduate and undergraduate medical students.