Intermenstrual Bleeding Flashcards by Kelan Pascoe | Brainscape

Q

What are the causes of intermenstrual bleeding?

A

Cervical polyps/ectropion/carcinoma/infection/trauma
Vaginal atrophy/malignancy/trauma
Hormonal contraception (spotting)
STI

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Q

How is intermenstrual bleeding investigated?

A

FBC
Cervical smear
Swab for infection
USS for >35 years/younger if medical treatment fails
Endometrial biopsy if USS shows thickening/polyp

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Q

What is the management for intermenstrual bleeding?

A

IUS/COCP induce lighter periods
Surgery for anatomical causes
Treat Chlamydia if appropriate

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