gynecology and obstetrics
Vaginal Bleeding
Etiology of Vaginal Bleeding
Causes of vaginal bleeding in adults (see table Some Causes of Vaginal Bleeding in Adult Women ) and children (see table During the reproductive years,common causes of vaginal bleeding include Abnormal Uterine Bleeding None Complications of an early, undiagnosed pregnancy Submucous myoma Endometrial or cervical polyps Midcycle bleeding associated with ovulation Adverse Effects while women are taking oral contraceptives Ovulatory dysfunction is the most common cause of Abnormal Uterine Bleeding (AUB) during the reproductive years. Causes of AUB in nonpregnant women of reproductive age may be classified as structural or nonstructural as in the PALM-COEIN classification system ( Vaginitis, foreign bodies, and trauma are common causes of vaginal bleeding before menarche. Sexual abuse and cancer are less common causes; however, prompt evaluation is required to rule these condition out. 1.Practice bulletin no. 128: Diagnosis of abnormal uterine bleeding in reproductive-aged women.Obstet Gynecol120 (1):197-206, 2012. doi: 10.1097/AOG.0b013e318262e320 2.Practice bulletin no. 136: Management of abnormal uterine bleeding associated with ovulatory dysfunction.Obstet Gynecol122 (1):176-185, 2013. doi: 10.1097/01.AOG.0000431815.52679.bb 