Dysmenorrhea and dysfunctional uterine bleeding.
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Dysfunctional uterine bleeding is diagnosed after excluding endometrial cancer and treated with estrogen, oral contraceptives, or progestins, while dysmenorrhea and menorrhagia are managed with antiprostaglandins, hormonal agents, or surgical interventions.
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Abstract
Dysfunctional uterine bleeding is a diagnosis of exclusion. Endometrial cancer and endometrial precursor lesions must be excluded before a diagnosis of anovulatory bleeding is made. Treatment consists of intravenous estrogen therapy, oral contraceptive pills, and progestational agents. Menorrhagia is excessive menstrual bleeding treated with antiprostaglandins, levonorgestrel-releasing intrauterine contraceptive devices, endometrial ablation, and danazol. Dysmenorrhea results from the release of prostaglandin 2alpha and is treated with antiprostaglandin agents such as nonsteroidal anti-inflammatory drugs.
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- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
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