Menstrual Disorders

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?

Jun 15, 2007 Issue
Treatment of Menorrhagia [Article]

Menorrhagia is defined as excessive uterine bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. The classic definition of menorrhagia (i.e., greater than 80 mL of blood loss per cycle) is rarely used clinically. Women describe the loss or reduction of ...

Aug 15, 2006 Issue
Diagnosis and Management of Endometriosis [Article]

Signs and symptoms of endometriosis are nonspecific, and an acceptably accurate noninvasive diagnostic test has yet to be reported. Serum markers do not provide adequate diagnostic accuracy. The preferred method for diagnosis of endometriosis is surgical visual inspection of pelvic organs with histo...

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