Uterine bleeding other than the normal physiologic loss of blood during menstruation is probably one of the most frequent conditions that the general practitioner, as well as the gynecologist, has to contend with, and a correct diagnosis as to whether it is of benign or malignant origin may be of vital importance.
The causes of benign hemorrhage may be classified as follows:
Functional hemorrhages as a result of endocrine dysfunction and imbalance occurring at puberty, during the childbearing period and at the menopause when there is no demonstrable lesion.
Hemorrhages associated with neoplastic diseases including cervical and corporeal polyps, myomas, adenomyosis and ovarian tumors.
Hemorrhages associated with inflammatory disease, as salpingitis, oophoritis and tuberculosis.
Bleeding from retained gestational products after abortion or full term delivery, and tubal pregnancy.
Intra-abdominal hemorrhage as a result of ectopic pregnancy, endometriosis and ruptured ovarian cysts and myomas.
WARD GG. BENIGN GYNECOLOGIC HEMORRHAGES. JAMA. 1940;115(19):1625–1627. doi:10.1001/jama.1940.02810450039010
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