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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.

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DR JASMIN RATH

Gynecologist and laproscopy surgeon in apollo hospital hyderabad

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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.