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. 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...