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Menorrhagia Epidemiology - • Blood tests o FBC –...

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Menorrhagia Epidemiology Menorrhagia is very common with approximately 20% of women losing more than 80ml of blood during each period. 1 in 20 women aged 30 to 49 years consult their GP each year for heavy periods and menstrual disorders. It is the second commonest gynaecological condition to be referred to hospital, accounting for 12% of all gynaecological referrals. 40 to 60% of those who complain of excessive bleeding have no pathology and this is called dysfunctional uterine bleeding.20% of cases are associated with anovulatory cycles and these are most common at the extremes of reproductive life. Diagnosis Diagnosis is usually based on a woman’s report of heavy periods. A GP may ask a woman to keep a diary recording her pad or tampon use throughout a period to gauge the extent of bleeding. Investigations to elicit a cause typically include:- A general physical examination Pelvic examination
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Unformatted text preview: • Blood tests o FBC – looking for anaemia o Clotting screen – looking for clotting abnormalities o Thyroid function tests – to rule out hypothyroidism o Liver function tests – to rule out liver disease o Hormone screen – looking for abnormalities in the HPG axis • Pap smear – looking for infection and malignant cells • Pelvic ultrasound – to detect structural abnormalities • Hysteroscopy with biopsy – to visualise the internal surface of the uterus and take a sample for analysis Prognosis The outlook for menorrhagia will depend upon the cause. For most women, medical treatment is possible and the need for surgery is becoming infrequent. Reaching the menopause is the natural cure for heavy periods. Prevention Menorrhagia isn’t particularly a preventable condition but once diagnosed and treatment is initiated good medication compliance usually resolves symptoms....
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Menorrhagia Epidemiology - • Blood tests o FBC –...

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