This concept covers the diagnostic evaluation and management framework for abnormal uterine bleeding (AUB) in gynecology, structured around history-taking (menstrual patterns, bleeding severity, medical/surgical history, medication use, and hemostatic disorder screening), physical and gynecologic examination, and a stepwise laboratory and imaging workup (pregnancy testing, CBC, TSH, targeted coagulation screening, saline infusion sonohysterography, transvaginal ultrasound, MRI, hysteroscopy, and endometrial biopsy). The theoretical foundation is that AUB management is etiology-driven, requiring differentiation among structural causes (fibroids, polyps, adenomyosis), endocrine causes (PCOS, hypothyroidism, unopposed estrogen), hematologic causes (coagulopathy), and age-specific risk profiles (e.g., endometrial cancer risk in postmenopausal or chronically anovulatory patients).
This concept covers the diagnostic evaluation and management framework for abnormal uterine bleeding (AUB) in gynecology, structured around history-taking (menstrual patterns, bleeding severity, medi…