Metrorrhagia: Abnormal Uterine Bleeding Causes & Evaluation
Metrorrhagia = irregular uterine bleeding between expected periods. Causes:
- Ovulation spotting (mid-cycle, benign)
- Hormonal imbalance (estrogen/progesterone)
- Infections (cervicitis, endometritis)
- Uterine polyps/fibroids
- Endometrial hyperplasia
- Perimenopause
- Pregnancy complications (miscarriage, ectopic)
- Medications (hormonal contraception, anticoagulants)
- Endometriosis
- Uterine/cervical cancer
See a provider for history, exam, tests (ultrasound, biopsy, labs) to diagnose and treat the underlying cause.
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