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Menorrhagia (Heavy Menstrual Bleeding)

Daniel R. Matta, MD and Thandi Walters, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • The term menorrhagia has fallen out of favor and the terminology “abnormal uterine bleeding” (AUB) is now preferred.

  • AUB describes a range of symptoms, such as heavy menstrual bleedin...

DIAGNOSIS

HISTORY

  • It is important to obtain a proper understanding of the patient's bleeding episode and to ask questions focused on PALM-COEIN etiologies to determine the patient's cause of abnormal b...

TREATMENT

MEDICATION

First Line

  • Hormonal

    • OCP normally used to regulate and decrease bleeding.

    • Progesterone and estrogen

  • Nonhormonal. These are normally chosen by women who wish to conceive and decrease hor...

ONGOING CARE

COMPLICATIONS

  • Iron deficiency anemia

  • Acute severe blood loss

  • Impaired quality of life

REFERENCES

1
Cheong Y, Cameron IT, Critchley HO. Abnormal uterine bleeding. British Medical Bulletin. 2019;131(1):119-119
2
Marnach ML, Laughlin-Tommaso SK. Evaluation and management of abnormal uterine ...

CODES

ICD10

  • N92.0 Excessive and frequent menstruation with regular cycle

  • N92.3 Ovulation bleeding

  • N92.2 Excessive menstruation at puberty

  • N92.1 Excessive and frequent menstruation with irregular cycle

SNOMED

CLINICAL PEARLS

  • Heavy menstrual bleeding is often associated with a structural uterine disorder.

  • A thorough history and physical examination is a key part of determining the cause of AUB.

  • The treatment ...

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