- Benign proliferations in women >35
- Intermenstrual bleeding
polyps
,What diagnostic test can you do for polyps?
US or hysteroscopy
Which structural causes?
- Endometrial glands and stroma within myometrium
- CP: painful, heavy periods 4th and 5th decade
adenomyosis
What diagnostic test can you do to confirm adenomyosis?
MRI or US
What is tx for adenomyoisis?
med management, may require surgery
Which structural causes?
, - "fireballs of the uterus" --> size increase during reproductive years,
decrease in menopause
- Asx or painful with bleeding
leiomyomas
What is diagnostic test for leiomyomas?
US
What is tx for leiomyomas?
NSAIDS, homemones w/GYN
What should you for all postmenopausal bleeding?
refer for outpatient US and endometrial biopsy
What are nonstructural causes of AUB?
"COEIN"
1. Coagulopathies
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