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Premenopausal women with hematometra often experience abnormal vaginal bleeding, including dysmenorrhea (pain during menstruation) or amenorrhea (lack of menstruation), while postmenopausal women are more likely to be asymptomatic. [3] Due to the accumulation of blood in the uterus, patients may develop low blood pressure or a vasovagal ...
The finding on transvaginal ultrasound of a thin endometrial lining gives the physician a 99% negative predictive value that the patient does not have endometrial cancer. [3] If a patient had a prior endometrial sampling that was inconclusive, then a transvaginal ultrasound can be used to triage a woman with post-menopausal bleeding. [3]
Medical tests include a blood test, to see whether the abnormal bleeding has caused anemia, and a pelvic ultrasound, to see whether the abnormal bleeding is caused by a structural problem, such as a uterine fibroid. [2] Ultrasound is specifically recommended in those over the age of 35 or those in whom bleeding continues despite initial ...
Abnormal bleeding, including postmenopausal bleeding, is the major red flag symptom for endometrial cancer. Other symptoms can include pelvic pain or heaviness and losing weight without trying ...
Pelvic and rectal examination to ensure that bleeding is not from lower reproductive tract (i.e. vagina, cervix) or rectum; Pap smear to rule out cervical neoplasia; Pelvic ultrasound scan is the first line diagnostic tool for identifying structural abnormalities. [16]
Vaginal bleeding (especially in post-menopausal people) Abnormal vaginal discharge. Pelvic area pain or pressure. ... and they had me come back in for a breast ultrasound, which found a lump very ...
When vaginal bleeding occurs in prepubertal children or in postmenopausal women, it always needs medical attention. [6] [7] [5] Vaginal bleeding during pregnancy can be normal, especially in early pregnancy. [8] However, bleeding may also indicate a pregnancy complication that needs to be medically addressed. [8]
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