Ovulatory Bleeding: Menorrhagia. Ovulatory Bleeding: Not Cycle Related

Ovulatory Bleeding: Menorrhagia
Cheap Singulair
Menorrhagia is defined as menstrual blood loss in excess of 80 mL per menstrual period. However, objective measurement is not practical, so the diagnosis must be made indirectly. Complicating matters is the poor association between a woman’s characterization of the amount of blood loss and the amount as measured in the laboratory. Although evaluation should include assessment for anemia, many women with measured blood losses consistently in excess of 80 mL per menstrual period are able to maintain normal hemoglobin status. The presence of anemia, however, is an objective indicator of significant blood loss and indicates the need for more urgent management. The traditional method of asking women to describe their blood loss in terms of the number of tampons and pads used per day can be supplemented with pictography. In this method, which has been shown to accurately mirror measured blood loss, women are asked to indicate which of several standardized drawings of blood-stained sanitary products best compare with their own experience.
Claritin online
Both endometrial histology and the status of the endome-trial cavity may require evaluation. The purpose of the endometrial cavity assessment is to identify anatomic changes that might be causing the menorrhagia, such as endometrial polyps or submucous leiomyoma. Transvagi-nal ultrasonography, transvaginal ultrasonography with saline instillation, and hysteroscopy are the office methods commonly used. The endometrium usually can be effectively sampled by office biopsy with any of the currently available techniques.
Online cheap Canada pharmacy
Ovulatory Bleeding: Not Cycle Related

Ovulatory bleeding that is not cycle related comprises a heterogeneous group of disorders that causes intermenstmal bleeding, including infection, neoplasms, genital trauma, and nongynecologic sources. Usually, bleeding in this category will be of recent onset, and the history will be suggestive of the cause. Postcoital bleeding requires evaluation of the cervix for infection (eg, chlamydia, gonorrhea) and a Pap test to determine neoplasia. The physical examination is particularly important to assess possible trauma, tumors, cervical polyps, ulceration, uterine enlargement or irregularity, adnexal masses, or evidence of inflammation. Evaluation of the uterus by biopsy and either transvaginal ultrasonography or hysteroscopy may be necessary if no cause is identified.
Canadian pharmacy cialis
Some women experience vaginal spotting at the time of expected ovulation, which perhaps is related to the brief, abrupt decline in estradiol that follows its preovulatory surge. These women should undergo a general evaluation when they present with this complaint. If the evaluation is negative and the spotting is consistent in timing and amount from month to month, no further evaluation is needed.

Leave a Reply

Your email address will not be published. Required fields are marked *