Abnormal uterine bleeding (AUB) is a common presenting symptom for both gynecologists and family practitioners with complex etiology and challenging differential diagnosis. Many cases of AUB can be managed effectively with hormonal, anti-inflammatory or antifibrinolytic agents. Although surgical management may include hysterectomy, more often one of a variety of less invasive, uterus-sparing procedures provides an effective and satisfactory clinical outcome. Effective management of women with AUB is enhanced by an understanding of the relevant basic sciences and the various mechanisms by which symptoms evolve. This includes clinical evaluation, the application of appropriate laboratory and imaging techniques and the identification of a customized menu of potential therapeutic interventions. Written by a leading practitioner, the approach includes advice on history taking, clinical examination and appropriate therapy. Basic science aspects are limited to what is really relevant to the clinicians. The accompanying DVD includes videos, animations, color images and patient support material to facilitate learning. A spectrum of providers and trainees will find this book to be an invaluable resource, including those from primary care, gynecology and family planning.

Table of Contents

Glossary; 1. Introduction; 2. Historical context; 3. Uterine anatomy; 4. Physiology of menstruation; 5. Nomenclature of abnormal uterine bleeding; 6. Pathogenesis of abnormal uterine bleeding; 7. Investigation of abnormal uterine bleeding; 8. Disorders of hemostasis; 9. Chronic abnormal uterine bleeding - endometrial or disorders of ovulation; 10. Therapy of abnormal uterine bleeding secondary to structural abnormalities; 11. Acute abnormal uterine bleeding; 12. Bleakthrough bleeding; 13. Premenarcheal bleeding; 14. Postmenopausal bleeding; 15. Uterine anesthesia; 16. Endometrial ablation; 17. Endometrial sampling; 18. Hysterectomy; 19. Intrauterine progestin releasing system; 20. Myoma ablation; 21. Myomectomy; 22. Polypectomy; 23. Uterine artery embolization and occlusion; 24. Uterine imaging; Index.

Author Biography

Malcolm G. Munro is Professor, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA and Director of Gynecologic Services, Department of Obstetrics and Gynecology, Kaiser Permanente, Los Angeles Medical Center, Los Angeles, California, USA.