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 .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
A 40-year-old nulligravid woman presents to the office for management of abnormal uterine bleeding. She reports a four-year history of heavy menses, which often lasts for two weeks in length and requires at least 10 sanitary pads per day. She denies abdominal pain or associated dizziness during menses. She reports prior use of multiple hormonal medications, including oral medroxyprogesterone and combined oral contraceptive pills, without improvement in her bleeding patterns. She is not currently taking any medications other than over-the-counter ferrous sulfate. Her past medical history is significant for iron deficiency anemia. She denies any surgical history. She has no plans for future fertility and would like definitive surgical management. When signing the surgical consent, she refuses transfusion of blood products.