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Menometrorrhagia during the premenopause: an overview.

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Donnez, Jacques [UCL]

Menometrorrhagia, defined as excessive and prolonged uterine bleeding occurring at irregular and/or frequent intervals, occurs in up to 24% of women aged 40-50 years. There are a wide range of causes of menometrorrhagia, although histological differences in endometrium between women aged <45 years compared with those aged 48-50 years indicate a much higher prevalence of myomas, adenomyosis, and dysfunctional endometrium (dysfunctional uterine bleeding, hyperplasia, neoplasia) around the time of the premenopause, emphasizing the importance of accurate diagnosis and appropriate management in women of this age group. In women presenting with menometrorrhagia, it is imperative to recognize that underlying lesions and diagnosis are frequently missed due to multiple causes. Primary diagnosis needs to exclude pregnancy and cancer, whereas secondary investigations (including ultrasound with instillation of saline solution, hysteroscopy and biopsy, and magnetic resonance imaging) can assist in accurately diagnosing the underlying cause of menometrorrhagia.

Document type Article de périodique (Journal article) – Journal Article
Access type Accès restreint
Publication date 2011
Language Anglais
Journal information "Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology" - Vol. 27 Suppl 1, p. 1114-9 (2011)
Peer reviewed yes
Publisher Informa Healthcare (London, UK)
issn 0951-3590
e-issn 1473-0766
Publication status Publié
Affiliations UCL - SSS/IREC/GYNE - Pôle de Gynécologie
UCL - (SLuc) Service de gynécologie et d'andrologie
Keywords Adenomyosis ; Etiology ; Menometrorrhagia ; Myoma ; Polyp ; Premenopausal ; Prevalence
Links
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  5. Donnez Jacques, Nisolle Michelle, Hysteroscopic surgery : , 10.1097/00001703-199206000-00015
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  10. Jadoul Pascale, Donnez Jacques, Conservative treatment may be beneficial for young women with atypical endometrial hyperplasia or endometrial adenocarcinoma, 10.1016/s0015-0282(03)01183-x
Bibliographic reference Donnez, Jacques. Menometrorrhagia during the premenopause: an overview.. In: Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology, Vol. 27 Suppl 1, p. 1114-9 (2011)
Permanent URL http://hdl.handle.net/2078.1/107234