Tests required to manage abnormal uterine bleeding - Dr. Mukta Nadig of Cloudnine Hospitals скачать в хорошем качестве

Tests required to manage abnormal uterine bleeding - Dr. Mukta Nadig of Cloudnine Hospitals

Before giving a list of the diagnostic tests to a woman I would lay emphasis on a careful history taking and a detailed physical examination which would involve a general and a local examination. A meticulous history taking can give us insight into many causes of the abnormal bleeding such as coagulopathy which would give us frequent episodes of gum bleeding, frequent bruising, surgery related bleeding and also a family history of unusual bleeding. In physical examination the general we will find patient who is obese pursued with lot of acne and would direct us towards the diagnosis of Polycystic Ovarian disease. In local examination we would look for any growth which could be benign or malignant in the cervical area which would point to a cervical malignancy. After having done a detailed history taking and careful examination then we go to the tests which are ordered to the patient. These would include certain lab test i.e. the complete haemogram, a coagulation profile, if needed a thyroid profile and hormonal profile to confirm the diagnosis of polycystic ovaries. After doing the tests the imaging test are very important. You can reach the diagnosis of the structural causes of abnormal uterine bleeding. The imaging tests are the basic pelvic ultrasound which will tell us about the uterus, the adnexa and the endometrial thickness, a 3-D ultrasound which will give us a more details about the myomas, and the intracavitory lesion. The Doppler Ultrasound will pick up the AV malformation and the details of the malignancy. In this we are also helped by MRI and saline infusion sonography. Hysteroscopy will also be a very helpful diagnostics tool in this manner. Endometrial sampling is mandatory in a woman aged 40 years and above to rule out malignancy and also below 40 years if the endometrial thickness is 12 mm or above.