Thank you for your wonderful talk! Clinical question for you: I have a 72 year old patient with history of bilateral breast cancer, resected with double mastectomy, no chemo, no radiation but on tamoxifen for the last 4 years. Previous smoker, quit after the cancer diagnosis and takes only Lipitor. Recently she had a pelvic ultrasound which showed an endometrial lining at 13mm. No symptoms (no bleeding, cramping, discharge, etc) but there is a family history of gyne and breast cancers. Her current gyne is not concerned about the 13mm and suggested against biopsy. Should I be asking for a second opinion in this case? Thank you!
A review of normal menstrual physiology, most common causes for abnormal uterine bleeding and the effective medical management for the family physician.
1. Understanding normal menstrual physiology
2. An introduction to the PALM-COEIN mnemonic for causes of abnormal uterine bleeding.
3. A guide to the investigation of abnormal uterine bleeding.
4. Appropriate use of medical therapy in various clinical conditions.