Abnormal Bleeding CPC

Question 1

Normal menstruation frequency, duration, and amount?

Answer 1

Fequency: 24-35 days.
Duration: 4 -7 days.
Amount: 30mls (whatever that means)

Question 2

Is all uterine bleeding menstruation?

Answer 2

Nope. Can be just withdrawal bleeding, anovulatory bleeding, other bleeding - but patients will call all of it a period.

Question 3

What’s the first dichotomy in the DDx for abnormal bleeding?

Answer 3

Structural vs. hormonal.

Question 4

If bleeding follows a regular cycle but is too heavy, does that point toward a structural or hormonal problem?

Answer 4

More likely structural. (most common reason would be fibroids)

Question 5

If a post-menopausal female has vaginal bleeding…

Answer 5

Look for cancer, but benign conditions (polyps, etc.) are most common.