Menstrual Disorders

In: Family Medicine · 2003 · pp. 874–881 · doi:10.1007/978-0-387-21744-4_103 · W4238228895
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Menstrual disorders, ranging from amenorrhea to excessive bleeding, arise from diverse causes and require a comprehensive primary care approach for effective management.

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This paper is a 2003 family medicine chapter describing menstrual disorders, covering conditions from failure to menstruate to excessive menstrual bleeding and noting that causes can span genetics, metabolism, endocrinology, gynecology, and psychology. It outlines a high-level approach emphasizing comprehensive primary care evaluation and management. A key limitation is that it functions as a narrative overview/clinical reference chapter rather than presenting new original research data or specific study populations. Relevance to endometriosis: it cites broader epidemiology of pelvic pain and endometriosis in the reference list (e.g., Eskenazi and Warner’s “Epidemiology of endometriosis”) though the chapter is primarily about general menstrual disorder evaluation.

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Abstract

Women experiencing menstrual difficulties frequently call upon family physicians. The disorders range from a failure to menstruate to excessive menstrual bleeding. Menstrual disorders stem from multiple etiologies, spanning the breadth of many disciplines including genetics, metabolism, endocrinology, gynecology, and psychology. Menstrual disorders are best addressed through a comprehensive primary care approach. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Speroff L, Glass RH, Kase NG, eds. Clinical gynecologic endocrinology and infertility. 6th ed. Philadelphia: Lippincott Williams & Wilkins, 1999; 201–10. Schlechte J, Sherman B, Halmi N, et al. Prolactin-secreting pituitary tumors in amenorrheic women: a comprehensive study. Endocr Rev 1980; 1: 295–308. McIver B, Romanski SA, Nippoldt TB. Concise review for primary-care physicians: evaluation and management of amenorrhea. Mayo Clin Proc 1997; 72: 1164. Speroff L, Glass RH, Kase NG. Clinical gynecologic endocrinology and infertility. 6th ed. Philadelphia: Lippincott Williams & Wilkins, 1999; 421–8. Hull MG. Epidemiology of infertility and polycystic ovarian disease: endocrinological and demographic studies. Gynecol Endocrino11987; 1: 235–45. Kiningham RB, Apgar BS, Schwenk TL. Evaluation of amenorrhea. Am Fam Physician 1996; 53: 1192. Alper MM, Garner PR. Premature ovarian failure: its relationship to autoimmune disease. Obstet Gynecol 1985; 66: 27–30. Barrett-Connor E, Bush TL. Estrogen and coronary heart disease in women. JAMA 1991; 265: 1861–7. Davajan V, Kletzky OA. Secondary amenorrhea without galactorrhea or androgen excess. In: Mishell DR Jr, Davajan V, Lobo RA, eds. Infertility, contraception and reproductive endocrinology, 3rd ed. Boston: Blackwell Scientific, 1991; 372–95. Gordon CM. Menstrual disorders in adolescents. Pediatr Clin North Am 1999; 46 (3): 520. Smith-Bindman R, et al. Endometrial ultrasound to exclude endometrial abnormalities. JAMA 1998; 280: 1510–17. Van Den Bosch T, Vandendael A, Van Schoubroeck D, Wrantz PAB, Lombard CJ. Combining vaginal ultrasonography and office endometrial sampling in the diagnosis of endometrial disease in postmenopausal women. Obstet Gynecol 1995; 85 (3): 349–52. Chen BH, Giudice LC. Dysfunctional uterine bleeding. West J Med 1998; 169 (5): 280–4. Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol 1996; 87: 55–8. Dawood MY. Nonsteroidal anti-inflammatory drugs and changing attitudes toward dysmenorrhea. Am J Med 1988; 84: 23–9. Dawood MY. Dysmenorrhea. Clin Obstet Gynecol 1990; 33: 168–78. Coco AS. Primary dysmenorrhea. Am Fam Physician 1999; 60: 489–96. Smith RP. Gynecology in primary care. Baltimore: Williams & Wilkins, 1997; 389–404. Eskenazi B, Warner M. Epidemiology of endometriosis. Obstet Gynecol Clin North Am 1997; 24: 235–58. Editor information Editors and Affiliations Rights and permissions Copyright information © 2003 Springer Science+Business Media New York About this chapter Cite this chapter Cyr, P.R., Skelton, A.K. (2003). Menstrual Disorders. In: Taylor, R.B., David, A.K., Fields, S.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-21744-4_103 Download citation DOI: https://doi.org/10.1007/978-0-387-21744-4_103 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4757-5209-0 Online ISBN: 978-0-387-21744-4 eBook Packages: Springer Book Archive

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