Menstrual Disorders

Jun 15, 2014 Issue
ACOG Releases Guidelines on Management of Abnormal Uterine Bleeding Associated with Ovulatory Dysfunction [Practice Guidelines]

Abnormal uterine bleeding related to ovulatory dysfunction (i.e., oligo-ovulation and anovulation) is a range of disorders often associated with heavy, irregular bleeding. The American College of Obstetricians and Gynecologists (ACOG) treatment recommendations are based on the assumption that a phys...

Mar 1, 2014 Issue
Diagnosis and Initial Management of Dysmenorrhea [Article]

Dysmenorrhea is one of the most common causes of pelvic pain. It negatively affects patients’ quality of life and sometimes results in activity restriction. A history and physical examination, including a pelvic examination in patients who have had vaginal intercourse, may reveal the cause. Primar...

Jun 1, 2013 Issue
Amenorrhea: An Approach to Diagnosis and Management [Article]

Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause. Primary amenorrhea, which by definition is failure t...

Jan 15, 2013 Issue
Evaluation and Treatment of Endometriosis [Article]

Endometriosis, which affects up to 10 percent of reproductive-aged women, is the presence of endometrial tissue outside of the uterine cavity. It is more common in women with pelvic pain or infertility (25 to 40 percent and 70 to 90 percent, respectively). Some women with endometriosis are asymptoma...

Feb 15, 2012 Issue
Dysmenorrhea [Clinical Evidence Handbook]

What are the effects of treatments for primary dysmenorrhea?

Jan 1, 2012 Issue
Evaluation and Management of Abnormal Uterine Bleeding in Premenopausal Women [Article]

Up to 14 percent of women experience irregular or excessively heavy menstrual bleeding. This abnormal uterine bleeding generally can be divided into anovulatory and ovulatory patterns. Chronic anovulation can lead to irregular bleeding, prolonged unopposed estrogen stimulation of the endometrium, an...

Oct 15, 2011 Issue
Premenstrual Syndrome and Premenstrual Dysphoric Disorder [Article]

Premenstrual syndrome is defined as recurrent moderate psychological and physical symptoms that occur during the luteal phase of menses and resolve with menstruation. It affects 20 to 32 percent of premenopausal women. Women with premenstrual dysphoric disorder experience affective or somatic sympto...

Oct 15, 2011 Issue
Tranexemic Acid (Lysteda) for Cyclic Heavy Menstrual Bleeding [STEPS]

Tranexamic acid is a nonhormonal option that reduces menstrual blood loss and improves quality of life in patients with heavy menstrual bleeding. It is more expensive than nonsteroidal anti-inflammatory drugs and hormonal therapies, but is an option when these treatments are not desired or recommended.

Feb 15, 2008 Issue
ACOG Guidelines on Endometrial Ablation [Practice Guidelines]

In its guidelines for endometrial ablation, the American College of Obstetricians and Gynecologists (ACOG) compare standard resectoscopic endometrial ablation with nonresectoscopic endometrial ablation techniques and devices.

Jan 1, 2008 Issue
Premenstrual Syndrome [Clinical Evidence Handbook]

What are the effects of drug and hormonal treatments in women with premenstrual syndrome (PMS)? What are the effects of psychological interventions, physical therapy, dietary supplements and surgical treatments in women with PMS?

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