Menstrual Issues

A19.Menstrual Issues (Amenorrhea, Menorrhagia, Irregular menses).
Given a patient presenting with menstrual symptoms:
A19.1 Perform a patient-centered interview and focused physical exam, list and interpret clinical findings
A19.2 Propose a relevant differential diagnosis that includes common causes of menstrual symptoms and less common but important causes of menstrual symptoms
A19.3 Describe relevant physical exam findings for each of the menstrual symptoms listed above
A19.4 Describe appropriate initial investigations, including biochemical and radiological investigations for specific issues
A19.5 Identify the necessary tests (biochemical and radiological) required to make the diagnosis for each problem listed above
A19.6 Propose non-pharmacologic and pharmacologic management of menorrhagia and irregular menses


Abnormal Uterine Bleeding

Chuong R, Dunn S.  Abnormal Uterine Bleeding One-Page Primer.  DFCM Open.  Published 2010.  Updated 2013.  Available at:  Attribution CC BY-NC-ND


Lindzon G, Hum B.  Amenorrhea One-Page Primer.  DFCM Open.  Published 2011.  Updated 2014.  Available at:  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].