Surgical Treatment of AUB

Question 1

what is “expectant management?”

Answer 1

expectant management is thoughtful observation of the situation without intervention

Question 2

What clinical conditions/parameters might make treatment of AUB urgent?

Answer 2

AUB may be considered urgent if the patient has hemodynamic instability or massive intractable bleeding

Question 3

What is the #1 consideration for AUB in reproductive age women?

Answer 3

pregnancy

Question 4

Endometrial Biopsy

• purpose?
• use?
• benefits?

Answer 4

Endometrial Biopsy

• for diagnostic purposes (to rule out atypia +/- malignancy) when pelvic ultrasound shows thickened endometrial stripe (>5cm(
• can be used pre-and post- menopausally (consider using for all AUB pts >35 yo)
• the benefits to a biopsy is that its a relatively simple office procedure and requires little or local anesthesia