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Menorrhagia

  • Common ddx

    • anovulatory bleeding, DUB
    • fibroids
    • coagulopathy, VWD
    • PCOS
  • Serious ddx

    • endometrial cancer
    • ectopic pregnancy
  • Labs

    • pelvic exam
    • endometrial biopsy if postmenopausal
    • CBC
    • type and cross if needed
    • hCG
    • coags, factor levels
    • TVUS
  • Tx

    • trial of OCPs
    • consider IUD placement
    • NSAIDs
    • surgery if refractory

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.