Abnormal premenopausal bleeding (increased or irregular)
DDx
DDx
DDx
- Ovulation bleeding (spotting episode between menses)
- Anovulatory cycle (dysfunctional uterine bleeding)
- Polycystic ovary syndrome (type of anovulatory cycle)
- Pregnancy
- Ectopic pregnancy
- Spontaneous abortion
- Uterine leiomyomas (fibroids)
- Endometrial polyp
- Cervicitis or pelvic inflammatory disease
- Adenomyosis (uterine endometriosis)
- Cervical cancer
- Cervical polyp
- Endometrial hyperplasia
- Endometrial cancer
- Hypothyroidism
- Hyperprolactinemia
- Diabetes mellitus
- Bleeding disorder, eg, von Willebrand’s disease
- Hydatidiform mole
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