TY - CHAP
T1 - Abnormal uterine bleeding
AU - Shavit, Yochai Bar
AU - Rabinovici, Jaron
AU - Carp, Howard J.A.
N1 - Publisher Copyright:
© Springer International Publishing Switzerland 2015.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84943765654&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-14385-9_7
DO - 10.1007/978-3-319-14385-9_7
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AN - SCOPUS:84943765654
SN - 9783319143842
SP - 93
EP - 110
BT - Progestogens in Obstetrics and Gynecology
PB - Springer International Publishing
ER -