The Endocrine Bleeding Blueprint: The Abnormal Menstrual Cycle
Abnormal uterine bleeding (AUB) is one of the most common and complex complaints in gynecology, spanning adolescent ovulatory dysfunction, perimenopausal hormonal surges, structural fibroids, adenomyosis, and endometrial malignancies. Deciphering the underlying cause requires a deep understanding of the PALM-COEIN classification system and hypothalamic-pituitary-ovarian (HPO) axis endocrinology. The Abnormal Menstrual Cycle is the definitive clinical master text dedicated to diagnosing and treating menstrual disorders.
Mastering Structural and Non-Structural AUB
The core philosophy of this text is systematic etiology identification. The authors break down the PALM-COEIN criteria, detailing structural causes (Polyp, Adenomyosis, Leiomyoma, Malignancy) alongside non-structural causes (Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not otherwise classified).
Navigating Targeted Medical and Surgical Therapies
The book offers clear, step-by-step management protocols for heavy menstrual bleeding, amenorrhea, and dysmenorrhea, detailing hormonal regimens (tranexamic acid, LNG-IUS, oral progestins) and surgical interventions (endometrial ablation, hysteroscopic myomectomy).
Frequently Asked Questions (FAQs)
Does this book cover pregnancy care?
No, it is dedicated strictly to *non-pregnant menstrual disorders, abnormal uterine bleeding, and gynecologic endocrinology*.
Who is the primary audience?
It is an essential reference for General Gynecologists, Reproductive Endocrinologists, Family Physicians, and Women’s Health Nurse Practitioners.
