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CURRENT Medical Diagnosis & Treatment 2013
Chapter 18. Gynecologic Disorders
Sections: Abnormal Premenopausal Bleeding, Postmenopausal Vaginal Bleeding, Premenstrual Syndrome (Premenstrual Tension), Dysmenorrhea, Vaginitis, Condyloma Acuminata, Cervical Polyps, Bartholin Duct Cysts & Abscesses, Effects of Exposure to Diethylstilbestrol In Utero, Cervical Intraepithelial Neoplasia (CIN) (Dysplasia of the Cervix), Carcinoma of the Cervix, Leiomyoma of the Uterus (Fibroid Tumor), Carcinoma of the Endometrium, Carcinoma of the Vulva, Endometriosis, Pelvic Organ Prolapse, Pelvic Inflammatory Disease (Salpingitis, Endometritis), Ovarian Cancer & Ovarian Tumors, Polycystic Ovary Syndrome, Female Sexual Dysfunction, Infertility, Contraception, Rape, Menopausal Syndrome.
Topics Discussed: gynecology.
Excerpt:"The diagnosis usually depends on the following: (1) A careful description of the duration and amount of flow, related pain, and relationship to the last menstrual period (LMP), with the presence of blood clots or the degree of inconvenience caused by the bleeding serving as useful indicators; (2) A history of pertinent illnesses, such as recent systemic infections or hospitalizations, or weight change; (3) A history of medications or herbal remedies that might cause AUB; (4) A history of coagulation disorders in the patient or family members; (5) A physical examination to look for general findings of excessive weight, signs of polycystic ovary syndrome (PCOS), thyroid disease or insulin resistance, and (6) A pelvic examination for vulvar, vaginal or cervical lesions, pregnancy, uterine myomas, adnexal masses, adenomyosis, or infection...."
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