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Questions and Answers
What is the definition of acute uterine bleeding?
What is the definition of acute uterine bleeding?
- Bleeding that lasts for more than six months.
- Bleeding that is normal in duration and volume but occurs irregularly.
- An episode of bleeding in a woman of reproductive age that requires immediate intervention. (correct)
- Bleeding that occurs in a woman who is pregnant.
Which percentage of premenopausal women over the age of 35 is impacted by abnormal uterine bleeding?
Which percentage of premenopausal women over the age of 35 is impacted by abnormal uterine bleeding?
- Between 10% and 20%
- Less than 10%
- More than 30%
- Around 20% (correct)
What characterizes chronic abnormal uterine bleeding?
What characterizes chronic abnormal uterine bleeding?
- Bleeding that lasts less than six months.
- Irregular bleeding that resolves within a few days.
- Bleeding that has been abnormal in duration, volume, and/or frequency for the majority of the last 6 months. (correct)
- Excessive bleeding occurring sporadically.
What does polymenorrhoea refer to?
What does polymenorrhoea refer to?
What is oligomenorrhea characterized by?
What is oligomenorrhea characterized by?
How is postmenopausal bleeding (PMB) defined?
How is postmenopausal bleeding (PMB) defined?
What is the previous nomenclature term for irregular heavy menstrual bleeding?
What is the previous nomenclature term for irregular heavy menstrual bleeding?
What should always be excluded when assessing postmenopausal bleeding?
What should always be excluded when assessing postmenopausal bleeding?
What is the most common origin of the causes of PMB?
What is the most common origin of the causes of PMB?
In the FIGO classification, what is emphasized regarding fibroids?
In the FIGO classification, what is emphasized regarding fibroids?
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Study Notes
Abnormal Uterine Bleeding (AUB)
- AUB is a common clinical problem, especially in women over 35.
- It is characterized by unusually heavy menstrual bleeding (HMB).
- Acute AUB: Bleeding requiring immediate intervention to stop potential blood loss in a non-pregnant woman of reproductive age.
- Chronic AUB: Bleeding from the uterus that is abnormal in duration, frequency, or volume for at least six months.
New FIGO AUB classification for women with regular cycles:
- PALM-COEIN: New classification system for AUB.
- Polyps
- Adenomyosis
- Leiomyomas (fibroids)
- Malignancy & hyperplasia
- Coagulopathy
- Ovarian dysfunction
- Endometrial
- Iatrogenic
- Not yet classified
FIGO Subclassification for Fibroids:
- Type 0: No fibroids.
- Type 1: Submucosal fibroids with no extension in the myometrium.
- Type 2: Submucosal fibroids with extension into the myometrium.
- Type 3: Intramural fibroids confined to the myometrial layer.
- Type 4: Subserosal fibroids with no extension into the myometrium.
- Type 5: Subserosal fibroids with extension into the myometrium.
Postmenopausal Bleeding (PMB)
- Bleeding that occurs after 1 year of amenorrhea in a woman not receiving hormone therapy.
- Most PMB is benign in origin.
- PMB should always consider the risk of malignancy.
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