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Case Discussion on Abnormal Uterine Bleeding in Pre & Post Menopausal Women
Abnormal uterine bleeding (AUB) is a significant concern that can affect women in both premenopausal and postmenopausal stages. In premenopausal women, AUB may manifest as irregular or heavy menstrual bleeding, often due to hormonal imbalances, uterine fibroids, or polyps. The evaluation typically involves a thorough history, physical examination, and sometimes imaging or endometrial biopsy to identify the underlying cause. In postmenopausal women, any vaginal bleeding after 12 months of amenorrhea is considered abnormal and requires immediate evaluation to rule out endometrial cancer or other serious conditions. Transvaginal ultrasound and endometrial sampling are essential diagnostic tools in this population. Management strategies vary depending on the cause, and may include medical treatments, hormonal therapies, hysteroscopic procedures, or, in severe cases, hysterectomy.
About the Speaker

DR JASMIN RATH
Gynecologist and laproscopy surgeon in apollo hospital hyderabad
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Endoscopy is a minimally invasive medical procedure used in gynecology for diagnostic and treatment purposes. It involves the insertion of a thin, flexible tube with a camera (hysteroscope or laparoscope) into the vaginal or abdominal cavity to visualize and examine the reproductive organs, such as the uterus, fallopian tubes, and ovaries. Gynecological endoscopy allows for the diagnosis of conditions like fibroids, polyps, and endometriosis, as well as the performance of surgical procedures like hysterectomy, myomectomy, and tubal ligation with smaller incisions and quicker recovery times compared to traditional open surgery, making it a valuable tool in women's healthcare.