Vaginal bleeding

hub note

pregnant or not?

pregnant

not

All reproductive-age women with PV bleeding must be assumed to be pregnant until proven otherwise.
All postmenopausal women with PV bleeding must be assumed to have carcinoma until proven otherwise. (copied shamelessly from LITFL)

  • Primary/abnormal uterine bleeding
    • ovulatory (regular heavy bleeding), or
    • dysfunctional (unopposed oestrogen)