5. Menstrual Period Characteristics >80 cc 20-80cc 35 cc Volume >8 d 1-8 d 4 d Duration <21 or >35 d 21-35 d 28 d Cycle length Abnormal Normal Average M enses
6. Menorrhagia Prolonged (> 7 days) or excessive (> 80mL) uterine bleeding occurring at regular intervals Metrorrhagia Uterine bleeding occurring at irregular intervals or between periods Menometrorrhagia Uterine bleeding occurring at irregular intervals, with heavy (> 80mL) or prolonged (> 7 days) menstrual flow Polymenhorrhea Uterine bleeding occurring at regular intervals of < 21 days Oligomenorrhea Uterine bleeding occurring at intervals of 35 days or longer Amenorrhea Absence of uterine bleeding for 6 months or longer in a non-menopausal woman
14. Enhanced contrast/relief of endometrial lesions: fibroids, polyps CA Sensitivity/Specificity at 93 to 94 % for focal lesions ( vs 75% for TVUS alone) Combined with EB: very high rate of Dx Focal lesions then result in Hysteroscopy
15. Evaluation of DUB 4.Endometrial Suction Curette Pippelle : most commonly used, least discomfort Vabra Aspirator and Karman Cannula 5.Endometrial Brush Superior in Post-Menopausal Same as Pipelle in Pre-Menop. (A) Pipelle endometrial suction curette. (B) Vabra aspirator. Tao Endometrial Brush