Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women
Publication Date: July 2, 2012
Last Updated: March 14, 2022
Recommendations and Conclusions
The following recommendations and conclusions are based on good and consistent scientific evidence.
- Substantial evidence exists to indicate that sonohysterography is superior to transvaginal ultrasonography in the detection of intracavitary lesions, such as polyps and submucosal leiomyomas.
- In all adolescents with heavy menstrual bleeding and adult patients with a positive screening history for a bleeding disorder, laboratory testing is indicated. Initial tests should include a CBC with platelets, prothrombin time, and partial thromboplastin time (fibrinogen or thrombin time are optional); bleeding time is neither sensitive nor specific and is not indicated.
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Title
Diagnosis of Abnormal Uterine Bleeding in Reproductive-Aged Women
Authoring Organization
American College of Obstetricians and Gynecologists