RT Book, Section
A1 Hall, Janet E.
A2 Jameson, J. Larry
A2 Fauci, Anthony S.
A2 Kasper, Dennis L.
A2 Hauser, Stephen L.
A2 Longo, Dan L.
A2 Loscalzo, Joseph
SR Print(0)
ID 1160016612
T1 Menstrual Disorders and Pelvic Pain
T2 Harrison's Principles of Internal Medicine, 20e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259644016
LK accesspharmacy.mhmedical.com/content.aspx?aid=1160016612
RD 2024/04/20
AB Menstrual  dysfunction  can  signal  an  underlying  abnormality  that  may  have  long-term  health  consequences.  Although  frequent  or  prolonged  bleeding  usually  prompts  a  woman  to  seek  medical  attention,  infrequent  or  absent  bleeding  may  seem  less  troubling  and  the  patient  may  not  bring  it  to  the  attention  of  the  physician.  Thus,  a  focused  menstrual  history  is  a  critical  part  of  every  encounter  with  a  female  patient.  Pelvic  pain  is  a  common  complaint  that  may  relate  to  an  abnormality  of  the  reproductive  organs  but  also  may  be  of  gastrointestinal,  urinary  tract,  or  musculoskeletal  origin.  Depending  on  its  cause,  pelvic  pain  may  require  urgent  surgical  attention.  Recent  guidelines  no  longer  recommend  routine  pelvic  examination  in  asymptomatic,  average-risk  women  other  than  periodic  cervical  cancer  screening.  However,  pelvic  examination  is  an  important  part  of  the  evaluation  of  amenorrhea,  abnormal  uterine  bleeding,  and  pelvic  pain.