Abnormal uterine bleeding

Yochai Bar Shavit, Jaron Rabinovici, Howard J.A. Carp*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


One of the most common gynecological consultations is for abnormal uterine bleeding. This condition accounts for up to 70 % of new gynecological consultations in perimenopausal women. After excluding organic causes, the mainstay of treatment is medical. Hormonal treatment usually includes some type of progestogen therapy. However, the treatment has to be “tailor made” depending on the patients age, desire for contraception or fertility, etc. In many cases in addition to progestogen, estrogen is often required to build the endometrioum, particularly in cases of a thinned endometrium due to ovarian dysfunction. Thus, the choice of progestogen needs also take into account the estrogenic, antiestrogenic, androgenic or anti-androgenic effects of the particular progestogen. In this chapter the pathophysiology, diagnosis and the resulting medical treatments of abnormal uterine bleeding are outlined.

Original languageEnglish
Title of host publicationProgestogens in Obstetrics and Gynecology
PublisherSpringer International Publishing
Number of pages18
ISBN (Electronic)9783319143859
ISBN (Print)9783319143842
StatePublished - 1 Jan 2015


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