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1 - Introduction

Published online by Cambridge University Press:  05 June 2014

Mary Ann Lumsden
Affiliation:
University of Glasgow
Margaret Rees
Affiliation:
University of Oxford
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Summary

This introduction discusses the aetiology of menstrual problems, their presentation and investigation as well as medical and surgical management. Specific problems such as fibroid-associated bleeding, adolescent and perimenopausal bleeding and breakthrough bleeding are covered, as are other critically important problems such as premenstrual disorders, pelvic pain and dysmenorrhoea. The most common presenting menstrual problem is heavy menstrual bleeding (HMB). A woman's approach to her periods will vary through her reproductive life. After childbearing is completed, the view of the menses will alter dramatically. The longest intermenstrual interval occurs at the menarche. Menstrual irregularity is most likely to occur at the extremes of reproductive life, the incidence of anovulation increasing as the menopause approaches. Classical primary spasmodic dysmenorrhoea occurs at the onset of the menses and gets better after 1 or 2 days, whereas secondary dysmenorrhoea tends to start prior to the menses and worsens as it proceeds.
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Publisher: Cambridge University Press
Print publication year: 2014

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  • Introduction
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.002
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  • Introduction
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.002
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Introduction
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.002
Available formats
×