ABNORMAL UTERINE BLEEDING

One of every five women presenting to a general gynecologist complains of abnormal uterine bleeding. Physicians must understand the normal m enstrual cycle, how it may be pathologically altered, and what differe nt treatments are available to efficiently deal with abnormal uterine bleeding. When bleeding is irregular but not excessive and does not in terfere with normal activity, explanation, reassurance, and observatio n can be the best approach. Disabling, heavy uterine bleeding requires medical or surgical intervention. This article provides background in formation regarding abnormal uterine bleeding, how to diagnose and tre at it, and when to refer the patient.