Abnormal Uterine Bleeding: Postmenopausal and Menopausal Transition

Menopausal transition (MT)

• Commonly referred to as “perimenopause”

• Begins with onset of cycle irregularity

• Ends at 1 year from last menstruation

Menopause

• Absence of menstruation for 1 ye...

Date of last menstruation

Bleeding patterns

• Menses length/frequency

• Volume of menstrual bleeding

• Presence of midcycle bleeding

• Postcoital bleeding

History of abnormal cervical lesions

Sexual...

Endometrial cancer, atypia, and hyperplasia must be ruled out prior to proceeding with treatment: In order to rule these out patient must have:

• Negative cytology on endometria...

Routine gynecologic care such as cervical cancer screening

Should be followed by gynecologic oncology if indicated for premalignant or malignant diagnosis and trea...

N93.9 Abnormal uterine and vaginal bleeding, unspecified

N95.0 Postmenopausal bleeding

44991000119100 Abnormal uterine bleeding

266677000 Menopausal and postmenopausal disorders

76742009 ...

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...