Abnormal Menstrual Cycle Slides PDF

ABNORMALITIES OF MENSTRUAL CYCLE (including Post-menopausal bleeding, PMB) Prof T. MATSASENG Photo by Stefan Els Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Genee...

ABNORMALITIES OF MENSTRUAL CYCLE (including Post-menopausal bleeding, PMB) Prof T. MATSASENG Photo by Stefan Els Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe ABNORMAL UTERINE BLEEDING (AUB) Background In the reproductive years, abnormal uterine bleeding (AUB) is an extremely common clinical problem presenting with heavy menstrual bleeding (HMB) It impacts more than 20 % of premenopausal women over the age of 35 Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB Definition  Acute uterine bleeding is defined as “an episode of bleeding in a woman of reproductive age, who is not pregnant, that, in the opinion of the provider, is of sufficient quantity to require immediate intervention to pre‐vent further blood loss”  Chronic AUB : “Bleeding from the uterine corpus, that is abnormal in duration, volume and/or frequency and has been present for the majority of the last 6 months” Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature system: defining normal Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: old definitions (NO LONGER USED) Polymenorrhoea: frequent (80 ml) & / or prolonged menstruation, at regular intervals Metrorrhagia: Excessive (>80 ml) & / or prolonged menstruation at irregular intervals. Menometrorrhagia: both. Intermenstual bleeding: episodes of uterine bleeding between regular menstruations Hypomenorrhoea: scanty menstruation. Oligomenorrhea: infrequent menstruation (>35 d) Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: new FIGO classification Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: new FIGO classification Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: new FIGO (including fibroids subclassification) Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: FIGO Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe AUB The nomenclature: FIGO Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe POST MENOPAUSAL BLEEDING (PMB) Definition Postmenopausal bleeding (PMB) is defined as bleeding that occurs after 1 year of amenorrhea in a woman who is not receiving hormone therapy (HT). Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe PMB Aetiology : most common causes are of benign origin Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe PMB Risk profile : Possible malignancy should always be excluded Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe Thank you Enkosi Dankie Photo by Stefan Els Medicine and Health Sciences | EyeNzululwazi ngezoNyango neMpilo | Geneeskunde en Gesondheidswetenskappe