aetiology
Last reviewed 01/2018
The causes of menorrhagia may be classified into:
- pelvic pathology:
- pelvic endometriosis
- pelvic inflammatory disease
- endometrial hyperplasia
- uterine fibroids
- systemic disorders:
- hypothyroidism - but usually presents with amenorrhoea in advanced cases
- blood clotting disorders - very rare; examples include von Willebrand's disease, thrombocytopenia
- iatrogenic factors:
- intra-uterine contraceptive device
- misoprostol
- poorly-controlled anticoagulant therapy
- psychosomatic disturbance - usually subsides when precipitating factors subside
- dysfunctional uterine bleeding - if all other local and systemic causes have been excluded
dysfunctional uterine bleeding