Menstrual Issues
- Perform a patient-centered interview and focused physical exam for a patient presenting with menstrual concerns
- Propose a relevant differential diagnosis
- Describe appropriate initial investigations, including biochemical and radiological investigations for specific menstrual symptoms
- Propose non-pharmacologic and pharmacologic management of abnormal uterine bleeding
Core Resources
Abnormal Uterine Bleeding
Chuong R, Dunn S. Abnormal Uterine Bleeding One-Page Primer. DFCM Open. Published 2010. Updated 2013. Available at: http://dfcmopen.com. Attribution CC BY-NC-ND
Amenorrhea: A Systematic Approach to Diagnosis and Management
Klein D, Paradise S, Reeder R. Amenorrhea: asystematic approach to diagnosis and management. Am Fam Physician. 2019;100(1):39-48.
Diagnosis and management of polycystic
ovarian syndrome
Ebernella Shirin Dason MD, Olexandra Koshkina MD MSc, Crystal Chan MD MSc, Mara Sobel MD MSc CMAJ 2024 January 29;196:E85-94. doi: 10.1503/cmaj.231251
Supplemental Resources
Eval & Mgmt of Abnormal Uterine Bleeding in Premenopausal Women.pdf
Sweet MG, Schmidt-Dalton TA, Weiss PM, Madsen KP. Evaluation and management of abnormal uterine bleeding in premenopausal women. Am Fam Physician. 2012;85(1):35-43. doi: d10047 [pii].
Abnormal Uterine Bleeding in Premenopausal Women
Wouk N, Helton M. Abnormal Uterine Bleeding in Premenopausal Women. Am Fam Physician. 2019: 99(7): 435-443.
Amenorrhea - an Approach to Diagnosis & Mgmt.pdf
Klein DA, Poth MA. Amenorrhea: An approach to diagnosis and management. Am Fam Physician. 2013;87(11):781-788. doi: d10456 [pii].