Diagnosis and Management of Abnormal Menses and Bleeding
Abnormal periods are distressing, inconvenient and impairing to a healthy lifestyle. The cause of abnormal menstruations are ovulatory, anovulatory and multifactorial. To a gynecologic specialist the specific risks of the different age groups establish a level of intervention and avoids the unnecessary testing. Abnormal menses have a variety of causes which include anovulation, hormonal causes, fibroids, polyps and abnormalities of the lining of the uterus such as hyperplasia and endometrial cancer.