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Horumon To Rinsho. Clinical... Jan 1974
Topics: Female; Humans; Metrorrhagia
PubMed: 4857372
DOI: No ID Found -
The American Journal of the Medical... Mar 2010In patients with AIDS, infection with Histoplasma capsulatum frequently results in disseminated disease. We discuss a 42-year old HIV-infected woman presenting with...
In patients with AIDS, infection with Histoplasma capsulatum frequently results in disseminated disease. We discuss a 42-year old HIV-infected woman presenting with fever, weight loss, pulmonary infiltrates, diarrhea, and metrorrhagia. Biopsy of bone marrow and skin demonstrated H capsulatum. Necrotic lesions of the uterine cervix, initially thought to represent cervical carcinoma, proved to be because of disseminated histoplasmosis. Involvement of the female genital tract by histoplasmosis is exceedingly rare, with cervical disease not having been described previously.
Topics: Adult; Female; HIV Infections; Histoplasmosis; Humans; Metrorrhagia; Uterine Cervical Diseases
PubMed: 20124881
DOI: 10.1097/MAJ.0b013e3181c62125 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Apr 2016
Topics: Acupuncture Points; Acupuncture Therapy; Adult; Female; Humans; Metrorrhagia; Obstetric Labor Complications; Pregnancy
PubMed: 27352497
DOI: No ID Found -
La Revue Lyonnaise de Medecine 1968
Topics: Female; Genital Neoplasms, Female; Humans; Menopause; Metrorrhagia
PubMed: 5716928
DOI: No ID Found -
La Revue Du Praticien Oct 1974
Topics: Female; Humans; Menopause; Metrorrhagia; Middle Aged; Ovarian Neoplasms; Uterine Cervical Neoplasms; Uterine Diseases; Uterine Neoplasms
PubMed: 4460196
DOI: No ID Found -
British Journal of Haematology Sep 2013Heavy menstrual bleeding (HMB) is a common clinical problem; population-based studies estimate that approximately 10-35% of women report this symptom during their... (Review)
Review
Heavy menstrual bleeding (HMB) is a common clinical problem; population-based studies estimate that approximately 10-35% of women report this symptom during their lifetime, while about 5% of women consult a physician for evaluation of HMB. Patients with HMB account for 15% of all referrals to gynaecologists and are frequently seen by haematologists in bleeding disorder clinics as well. Heavy menstrual bleeding can be caused by a wide variety of local and systemic factors, so a careful clinical and laboratory evaluation is often necessary to determine the aetiology and guide appropriate management. This review discusses the definition, causes and clinical outcomes of HMB. It outlines a diagnostic approach and focuses on medical (as opposed to surgical) treatments. Throughout, areas of controversy and opportunities for further research are highlighted.
Topics: Female; Humans; Menorrhagia; Metrorrhagia
PubMed: 23829452
DOI: 10.1111/bjh.12447 -
Reviews in Endocrine & Metabolic... Dec 2012Erratic, "unscheduled", vaginal bleeding continues to be the greatest disadvantage associated with widespread use of long-acting, progestogen-only methods of... (Review)
Review
Erratic, "unscheduled", vaginal bleeding continues to be the greatest disadvantage associated with widespread use of long-acting, progestogen-only methods of contraception. As a consequence, it is also the main reason for premature discontinuation of use of these methods in most cultures. From other perspectives, these methods have high acceptability, very high contraceptive efficacy and a range of valuable, added, non-contraceptive health benefits. There has been widespread awareness of the variability of these vaginal bleeding patterns associated with long-acting methods for several decades and much research has been invested into studying their patterns and implications. Considerable research has also been directed towards trying to understand the underlying mechanisms responsible for the unpredictable bleeding. Much has been clarified about the multiple mechanisms contributing to the appearance of superficial, thin-walled fragile vessels within the endometrium of many of those women with troublesome bleeding, but there is still little understanding of why some women develop these vessels and others have no fragile vessels (and may therefore develop amenorrhea). We now have several medical approaches to reliably stopping a prolonged episode of troublesome bleeding, but no good therapy to produce long-lasting relief from recurrence of erratic bleeding in predisposed women. Future understanding of the variability in individual endometrial responses in different women may be a key to solving this frustrating symptom.
Topics: Contraceptive Agents, Female; Endometrium; Female; Humans; Metrorrhagia
PubMed: 23224719
DOI: 10.1007/s11154-012-9227-3 -
The Medical Journal of Australia Feb 1952
Topics: Female; Humans; Menorrhagia; Metrorrhagia
PubMed: 14918719
DOI: No ID Found -
Journal of Gynecology Obstetrics and... Oct 2017Abnormal uterine bleeding (AUB) is a common complaint that affects large numbers of women from puberty to menopause. It negatively affects health by causing anemia, and... (Review)
Review
Abnormal uterine bleeding (AUB) is a common complaint that affects large numbers of women from puberty to menopause. It negatively affects health by causing anemia, and impacts the quality of life of women affected. AUB also has an economic impact for both women and society. Therefore, it should not be under- or overestimate and diagnosis, investigations and treatment should be proposed, taking into account the scientific data available in the current state of medical knowledge. Using the new terminology and etiologic classification of AUB is essential to communicate properly around the subject. The evaluation of the bleeding includes self-report and more objective methods. Work out should focus on diagnosing anemia and researching for causal factors. It is important to differentiate AUB caused by anatomical changes and functional causes, and the PALM-COIEN classification has been developed on that dichotomy. Investigations may include blood test, ultrasound, hysteroscopy and endometrial sampling is required in a certain number of situations. Treatment for AUB can be medical and/or surgical depending on the cause. Medical treatment is based on iron supplementation, hormonal and non-hormonal therapies. Surgical treatments include removal of a focal lesion, endometrial resection or destruction and hysterectomy. Age, desire for future pregnancy and etiology for AUB are key factors to consider before initiating a treatment. Treatment efficiency can be assessed using the same tools as pretherapeutic evaluation, and improvement of quality of life has now become the main goal for most international guidelines addressing the subject.
Topics: Clinical Decision-Making; Female; Humans; Medical History Taking; Menorrhagia; Metrorrhagia; Physical Examination; Severity of Illness Index
PubMed: 28716637
DOI: 10.1016/j.jogoh.2017.07.005 -
La Revue Du Praticien Apr 2008
Topics: Amenorrhea; Female; Humans; Metrorrhagia
PubMed: 18546652
DOI: No ID Found