Concluded Case

Intermenstrual Bleeding

A 48yrs old woman + with intermenstrual bleeding for 2 month. Bleeding occure any time in cycle. Usually fresh red blood and lighter than a normal pds . Last 6 days no pain no vaginal dryness,no hot flushes,no night sweats , sexually active. She has 3 children,used OCP for 5years, Paps smear screening normal What diagnosis and treatment are given

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Concluded answer

Fractional currattage to be done and histopathological examination to be done. Ultrasound for uterine structure and ovaries to be done to decide for hysterectomy

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Fractional currattage to be done and histopathological examination to be done. Ultrasound for uterine structure and ovaries to be done to decide for hysterectomy

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- Most Probably Utrine Polyp - Single Image is not sufficient - Doppler study essential - isn't it , looking like picked up image from book ?

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This is endometrial polyp can be removed by hysteroscopy Since Pt is48 yrs hysterectomy can be considered

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USG for dignosis If polyps then surgical removal And entometrosis Then biopsy and OC PILL or D&c

Endometrial polyp. Rx Hysteroscopic polypectomy.

USG LOWER ABD

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