Diagnosis and management of acute abnormal uterine bleeding during menacme

Objective: To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options. Methods: A review of current evidence and guidelines was performed to create a structured approach for heal...

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Detalles Bibliográficos
Autores: Pravatta-Rezende, Gabriela, Benetti-Pinto, Cristina Laguna, Gomes, Daniela Angerame Yela, Silva, Ana Carolina Japur de Sá Rosa e, Soares Junior, Jos´e Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Brasil
Institución:Universidade de São Paulo (USP)
Repositorio:Clinics
Idioma:inglés
OAI Identifier:oai:revistas.usp.br:article/238482
Acceso en línea:https://revistas.usp.br/clinics/article/view/238482
Access Level:acceso abierto
Palabra clave:Abnormal uterine bleeding
Menorrhagia
Acute bgynecological conditions
Menstrual disorders
Descripción
Sumario:Objective: To provide a protocol for the diagnosis and management of Acute Abnormal Uterine Bleeding (AUB) during menacme, addressing common causes, clinical evaluation, and treatment options. Methods: A review of current evidence and guidelines was performed to create a structured approach for healthcare professionals. Results: Acute AUB, defined as excessive uterine bleeding unrelated to pregnancy, requires immediate intervention. Causes vary by age and include coagulopathies, anovulation, and structural anomalies. Clinical stability, lab workups, and imaging are pivotal in guiding management. Initial treatment focuses on hemodynamic stabilization followed by medical therapies such as antifibrinolytics, hormonal agents, or surgical intervention when necessary. Conclusion: Early intervention in AUB ensures optimal outcomes, reduces complications, and allows transition to maintenance therapy to prevent recurrence.