Menstrual Issues

Given a patient presenting with menstrual symptoms:

  • Perform a patient-centered interview and focused physical exam, list and interpret clinical findings
  • Propose a relevant differential diagnosis that includes common causes of menstrual symptoms and less common but important causes of menstrual symptoms
  • Describe relevant physical exam findings for each of the menstrual symptoms listed above
  • Describe appropriate initial investigations, including biochemical and radiological investigations for specific issues
  • Identify the necessary tests (biochemical and radiological) required to make the diagnosis for each problem listed above
  • Propose non-pharmacologic and pharmacologic management of menorrhagia and irregular menses

Articles

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

Lindzon G, Hum B.  Amenorrhea One-Page Primer.  DFCM Open.  Published 2011.  Updated 2014.  Available at: http://dfcmopen.com.  Attribution CC BY-NC-ND

Eval & Mgmt of Abnormal Uterine Bleeding in Premenopausal Women

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].

Amenorrhea - an Approach to Diagnosis & Mgmt

Klein DA, Poth MA. Amenorrhea: An approach to diagnosis and management. Am Fam Physician. 2013;87(11):781-788. doi: d10456 [pii].