Investigating abnormal uterine bleeding in reproductive aged women

What you need to knowAbnormal uterine bleeding (AUB) is common, and the cause must be understood in order to direct managementAUB in the perimenopause is a risk factor for endometrial hyperplasia or malignancy, and investigation is warrantedIron deficiency and iron deficiency anaemia are extremely common in women with AUB and often easily remediedA 35 year old woman presents to her GP with heavy periods, which are gradually getting worse. She is soaking through her clothes on her heaviest days and is concerned about leaving the house. She has also noticed an increased level of tiredness and inability to concentrate at work.Abnormal uterine bleeding (AUB) is a common presentation in primary care. Estimates vary, but the prevalence among non-pregnant women of reproductive age globally is thought to be between 20% and 35%.123 This article refers to women, but the concepts apply to all people who menstruate. AUB affects women of all…
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