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Office Diagnosis and Management of Abnormal Uterine Bleeding

TSAI, MING C. MD; GOLDSTEIN, STEVEN R. MD

Clinical Obstetrics & Gynecology: September 2012 - Volume 55 - Issue 3 - p 635–650
doi: 10.1097/GRF.0b013e31825d3cec
Office Gynecology

Abnormal uterine bleeding is one of the most common presenting complaints encountered in a gynecologist’s office or primary care setting. The availability of diagnostic tools, such as ultrasound, endometrial sampling, and diagnostic hysteroscopy has made it possible to promptly diagnose and treat an increasing number of menstrual disorders in an office setting. The incorporation of newer medical therapies: antifibrinolytic drugs, shorter hormone-free interval oral contraceptive pills, and levonorgestrel inserts along with office minimally invasive treatments operative hysteroscopy and endometrial ablations have proven to be powerful therapeutic arsenals to provide short-term relief of abnormal uterine bleeding, and potentially, avoiding or delaying the hysterectomy.

Department of Obstetrics and Gynecology, New York University School of Medicine, New York, New York

S.R.G. serves as consultant for Cook ObGyn and Phillips Ultrasound. He is on Gyn Advisory board of Shionogi, Bayer and Amgen and Speaker Bureau for Warner Chilcott and Amgen. The other author declares that he has nothing to disclose.

Correspondence: Ming C. Tsai, MD, Department of Obstetrics and Gynecology, New York University School of Medicine, New York, NY. E-mail: ming.tsai@nyumc.org

© 2012 Lippincott Williams & Wilkins, Inc.