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Dysfunctional Uterine Bleeding

Questions to Discuss with Your Doctor:

  • Do you have regular menstrual cycles?
  • Is your bleeding always heavy or prolonged?
  • How old were you when you started menstruating?
  • How long ago did you develop abnormal bleeding?
  • Have you gone through menopause yet?
  • Are you sexually active?
  • When was your last period?
  • How many times have you been pregnant?
  • What was the outcome of each pregnancy (live births, miscarriages, cesarean sections)?
  • Have you ever had difficulty getting pregnant?
  • What medications are you taking (including over-the-counter drugs and herbal remedies such as ginseng)?
  • Are you taking hormone replacement therapy or birth control pills?
  • Have you ever had medications injected (Depo-Provera or Norplant) for birth control?
  • Have you ever taken estrogen or tamoxifen?
  • Are you taking warfarin or other blood thinners?
  • Have you ever had cancer of any type?
  • Have you ever had an abnormal Pap smear?
  • Do you bruise easily?
  • Do your gums bleed?
  • Do you get nosebleeds?
  • Do you have a blood-clotting abnormality or does one run in your family?
  • Do you have kidney or liver disease?

Your Doctor Might Examine the Following Body Structures or Functions:

  • Blood pressure, heart rate, weight
  • Abdominal examination
  • Pelvic exam

Your Doctor Might Order the Following Lab Tests or Studies:

  • Pregnancy test
  • Blood tests such as complete blood count, coagulation (clotting) studies, and certain hormone tests (such as thyroid stimulating hormone, cortisol, prolactin, follicle stimulating hormone, testosterone)
  • Pelvic ultrasound
  • Pap smear (see p. 1066)
  • Endometrial biopsy (see p. 1041)

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