Diagnosis Perdarahan Uterus Abnormal

Oleh :

dr.Eva Naomi Oretla

Diagnosis perdarahan uterus abnormal perlu dicurigai pada pasien tidak hamil (nonpregnant) yang mengalami menstruasi dengan jadwal yang ireguler, perdarahan menstruasi yang sangat banyak, ataupun sangat sedikit. Investigasi dilakukan untuk mengidentifikasi kemungkinan penyebab dari perdarahan, misalnya adanya polip atau koagulopati.[6,7,9,14]

Klasifikasi Perdarahan Uterus Abnormal

Terminologi pola perdarahan abnormal seperti menorrhagia, metrorrhagia, perdarahan uterus disfungsional, menometrorrhagia, oligomenorrhea, dan sebagainya sudah tidak digunakan lagi untuk menggambarkan pola menstruasi.[5,10,26]

Referensi

3. Behera M A. Abnormal (Dysfunctional) Uterine Bleeding. Medscape. 2018. https://emedicine.medscape.com/article/257007-overview
5. Chodankar R, Critchley H OD. Abnormal uterine bleeding (including PALM COEIN classification). Obstetrics Gynaecology and Reproductive Medicine. 2019;0:98-104. https://www.obstetrics-gynaecology-journal.com/article/S1751-7214(19)30027-2/pdf
6. Ozge Y, Tuncay Y, Orhun CM. Overview of Abnormal Uterine Bleeding in Adolescents: Diagnosis and Management. International Journal of Women’s Health and Reproduction Sciences. 2017;5(3):158-163 DOI:10.15296/ijwhr.2017.29
7. Kaunitz A M, McCullough D C, Burnett E H. Medical management of abnormal uterine bleeding in reproductive-age women. OBG Management.2019;31(11):30-36
8. Pinto-Benetti C L, Rosa-e-silva A C J, et al. Abnormal Uterine Bleeding. Rev Bras Ginecol Obstet. 2017. 39:358–368 DOI https://doi.org/10.1055/s-0037-1603807
9. Oruç Nİ, Göksever Çelik H, Gündüz N, Yıldırım G. Evaluation of the Patients with Abnormal Uterine Bleeding Based on PALM-COEIN Classification. İstanbul Med J. 2019; 20(5): 477-81 DOI: 10.4274/imj.galenos.2019.03780
10. Miller K, Konal J, et al. Abnormal uterine bleeding. Pediatr Med. 2019;2(27):1-7 DOI : http://dx.doi.org/10.21037/pm.2019.06.11
11. Cheong Y, Cameron I T, Critchley HO. Abnormal uterine bleeding. British Medical Bulletin. 2017;123:103–114 doi: 10.1093/bmb/ldx027
14. Davis E, Sparzak PB. Abnormal Uterine Bleeding. [Updated 2021 Jul 14]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK532913/
18. Singh PB, Purwar R, Mall RP. Clinical spectrum and causes of abnormal uterine bleeding in reproductive age according to two FIGO systems. The New Indian Journal of OBGYN. 2021; 8(1): 105-11. DOI - 10.21276/obgyn.2021.8.1.20
19. National Institute for Health and Care Excellence. Heavy menstrual bleeding: assessment and management. 2021. https://www.nice.org.uk/guidance/ng88
26. Mutakha GS, Mwaliko E, Kirwa P. Clinical bleeding patterns and management techniques of abnormal uterine bleeding at a teaching and referral hospital in Western Kenya. PLoS ONE. 2020;15(12):e0243166 DOI: https://doi.org/10.1371/journal.pone.0243166

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