Epistemis

Abnormal vaginal bleeding

Specialty: Nephrology and urology.

  • metrorrhagia
  • vaginal bleeding
  • uterine bleeding

Why it occurs

  • Hormonal alteration/anovulation
  • Fibroids/polyps
  • Pregnancy complication
  • Neoplasia (endometrium/cervix)
  • Anticoagulation

Initial workup

Pregnancy test; transvaginal ultrasound; endometrial biopsy according to age and risk.

red flags

Heavy bleeding with instability, or postmenopausal → study (rule out neoplasia).

Standard management

  • Treat the cause — hormonal or surgical
  • Tranexamic acid — heavy bleeding

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousChronic incomplete urine retention
Area
Nephrology and urology
Listed causes
5
Treatment options
2
Download Epistemis