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cce_gynecology_menorrhagia (pain (dyspareunia, analgesics,…
cce_gynecology_menorrhagia
pain
dyspareunia
analgesics
primary/secondary dysmenorrhea
menstruation
regular, between cycles, days
flooding, clot size, pads soaked/daynight, anemia, impact
LMP
other flow
post-coital bleeding
vaginal discharge
intermenstrual flow
associated symptoms
others
urinary, bowel
Pap smear
structural
endometrium
cancer, hyperplasia, polyp, itis
irregular bleeding
uterine cavity
intrauterine device
myometrium
adenomyosis
menorrhagia, secondary dysmenorrhea
fibroid
pain, mass, menorrhea, pressure
functional
endocrine
Cushing's disease, hypothyroidism
coagulopathy
von Willebrand disease, ITP
drugs
exogenous steroid, anticoagulants
primary
dysfunctional uterine bleeding
peri-menopause (vasovagal, hot flush, mood disturbance) (urgency, frequency, UTI) (dry/itchy vagina, discharge, dyspareunia)