Menopausal transition (MT)
Commonly referred to as “perimenopause”
Begins with onset of cycle irregularity
Ends at 1 year from last menstruation
Absence of menstruation for 1 ye...
Date of last menstruation
Volume of menstrual bleeding
Presence of midcycle bleeding
History of abnormal cervical lesions
Endometrial cancer, atypia, and hyperplasia must be ruled out prior to proceeding with treatment. Recommendations vary for reasonable exclusion of possible endometrial cancer...
Routine well woman care
Should be followed by gynecologic oncology if indicated for premalignant or malignant diagnosis and treatment
Consider referral to reproduct...
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N95.0 Postmenopausal bleeding
N92.4 Excessive bleeding in the premenopausal period
626.9 Unspecified disorders of menstruation and ...
Endometrial cancer must be reasonably ruled out in patients with AUB in MT or menopause.
Medical management should be first line for patients in MT, once endometrial cancer and hyperpla...
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