The Curbsiders Internal Medicine Podcast

#382 Abnormal Uterine Bleeding

7 snips
Feb 20, 2023
A case of heavy menstrual bleeding opens a practical conversation about the ovarian cycle, the PALM-COEIN framework, and how history, exams, labs, and imaging help uncover causes. The discussion ranges from fibroids and endometrial biopsies to urgent bleeding care, medication options, and when procedures or gynecology referral may be needed.
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1
Introduction
00:00 • 3min
2
What's Going on in the Ovarian Cycle?
02:45 • 3min
3
The Nomenclature Around Abnormal Uterine Bleeding
05:58 • 4min
4
Is She Preventing Pregnancy?
09:33 • 5min
5
Is There a Stepwise Approach to PEP?
14:32 • 2min
6
Is Every Patient Warning an Ultrasound?
16:31 • 3min
7
Sonohistoriography
19:16 • 3min
8
Are Endometrial Biopsies a Good Idea?
21:53 • 3min
9
Endometrial Hyperplasia
24:41 • 4min
10
Is Fibroids Related to Heavy Bleeding?
28:43 • 6min
11
Endometrial Thickness on Ultrasound in a Post-Menopausal Patient?
34:24 • 4min
12
Can You Prescribe Oral Contraception for Acute Bleeding?
38:14 • 3min
13
Is There a Role of Emergency Evaluating IV Estrogen?
41:02 • 4min
14
Do NSAIDs and Tranexamic Acid Work for Abnormal Uterine Bleeding?
44:46 • 4min
15
Is Surgery a Good Option for Heavy Menstrual Bleeding?
48:43 • 3min
16
What Other Questions Do You Have?
51:36 • 3min
17
The Curbsiders Podcast - Part 2
54:56 • 2min