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Symptoms and Signs – Differential Diagnosis of Dysfunctional Uterine Bleeding
• Anatomic nonuterine causes: cervical neoplasia, cervicitis; vaginal neoplasia, adhesions, trauma, foreign body, atrophic vaginitis, infections, condyloma; vulvar trauma, infections, neoplasia, condyloma, dystrophy, varices
• Anatomic uterine causes: leiomyomas, adenomyosis, polyps,endometrial hyperplasia, cancer, STDs, intrauterine contraceptive device (IUD)
• Coagulopathies: von Willebrand disease, thrombocytopenia, hepatic failure
• Endocrinopathies: thyroid disorder, hypothyroidism and hyperthyroidism, diabetes mellitus (DM)
• GI tract: hemorrhoids, anal fissure, colorectal lesions
• Pregnancy-related cause
• Systemic diseases: exogenous hormone intake, renal disease
• Urinary tract: urethral caruncle, diverticulum, hematuria
• Anatomic nonuterine causes: cervical neoplasia, cervicitis; vaginal neoplasia, adhesions, trauma, foreign body, atrophic vaginitis, infections, condyloma; vulvar trauma, infections, neoplasia, condyloma, dystrophy, varices
• Anatomic uterine causes: leiomyomas, adenomyosis, polyps,endometrial hyperplasia, cancer, STDs, intrauterine contraceptive device (IUD)
• Coagulopathies: von Willebrand disease, thrombocytopenia, hepatic failure
• Endocrinopathies: thyroid disorder, hypothyroidism and hyperthyroidism, diabetes mellitus (DM)
• GI tract: hemorrhoids, anal fissure, colorectal lesions
• Pregnancy-related cause
• Systemic diseases: exogenous hormone intake, renal disease
• Urinary tract: urethral caruncle, diverticulum, hematuria
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