Metrorrhagia

Metrorrhagia: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to assess genital organs, including endometrial thickness (thickness of the lining of the uterus) Abdominal ultrasonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries (ovaries). Optional medical device diagnostics -depending … Metrorrhagia: Diagnostic Tests

Metrorrhagia: Micronutrient Therapy

A symptom of deficiency may indicate that there is an insufficient supply of vital substances (micronutrients). The complaint bleeding indicates a deficiency of vital substances (micronutrients) for: Vitamin C A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency. The complaint bleeding indicates a vital substance … Metrorrhagia: Micronutrient Therapy

Metrorrhagia: Surgical Therapy

1st order Abrasio – scraping of the mucosa of the uterus so that it can then be examined histologically; can also be used therapeutically, for example, as a curettage after an abortion (miscarriage) to remove remnants of the placenta from the uterus Surgical removal of fibroids (benign tumors) or polyps (mucosal outpouchings of the endometrium). … Metrorrhagia: Surgical Therapy

Metrorrhagia: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate metrorrhagia: Leading symptom Metrorrhagia – bleeding outside of menstruation proper; it is usually prolonged and increased, and a regular cycle is not apparent Warning signs (red flags) Anamnestic information: > 35 years of age → think of: Cervical carcinoma/cervical cancer (two peaks of disease, with the early peak … Metrorrhagia: Symptoms, Complaints, Signs

Metrorrhagia: Causes

Pathogenesis (development of disease) In metrorrhagia, bleeding is outside of menstruation proper; it is usually prolonged and increased, and a regular cycle is not apparent (continuous bleeding). The cause is usually a cycle abnormality (cycle irregularity) or various diseases affecting the uterus (womb). Etiology (causes) Biographic causes Hormonal factors Pregnancy Perimenopause – transitional period between … Metrorrhagia: Causes

Metrorrhagia: Drug Therapy

Therapeutic target The primary goal is to clarify the bleeding disorder, as well as to treat the underlying disease!Normalization of the cycle interval. Therapy recommendations During sexual maturity, if necessary, by administration of hormones (ovulation inhibitors), change of hormone therapy, preoperative therapy of fibroids/gut muscle tumor (see hypermenorrhea/excessive menstruation). Perimenopause (transitional phase between premenopause and … Metrorrhagia: Drug Therapy

Metrorrhagia: Medical History

Medical history (history of illness) represents an important component in the diagnosis of metrorrhagia. Family history Is there a history of frequent genitourinary tract disorders in your family? Social history Current medical history/systemic history (somatic and psychological complaints). When was your last menstrual period? How long have the menstrual changes existed? What is the cycle … Metrorrhagia: Medical History

Metrorrhagia: Or something else? Differential Diagnosis

Neoplasms – Tumor Diseases (C00-D48). Cervical or portiocarcinoma (cancer of the cervix or uterine orifice, respectively). Endometrial carcinoma (cancer of the uterus). Tubal carcinoma (fallopian tube cancer) Vaginal carcinoma (cancer of the vagina) Pregnancy, childbirth and puerperium (O00-O99) Abortion – premature termination of pregnancy with a birth weight of the embryo or fetus, respectively, of … Metrorrhagia: Or something else? Differential Diagnosis

Metrorrhagia: Complications

The following are the most important diseases or complications that may be contributed to by metrorrhagia: Blood, blood-forming organs – Immune system (D50-D90). Anemia (anemia) Further Life-threatening carcinoma bleeding in mostly advanced cervical or corpus carcinoma (cancer of the cervix or uterus), but also possible in vaginal or ovarian carcinoma (cancer of the vagina or … Metrorrhagia: Complications

Metrorrhagia: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vaginal) [injured vessel of the vagina]. Cervix uteri … Metrorrhagia: Examination

Metrorrhagia: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Ferritin – if iron deficiency anemia is suspected. HCG determination (human chorionic gonadotropin) – to exclude pregnancy. 17-beta estradiol Progesterone FSH (follicle-stimulating hormone) Taking a Pap smear Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for … Metrorrhagia: Test and Diagnosis