RISK FACTORS, INVESTIGATIONS & DIAGNOSIS
RISK FACTORS
- Age
- Hormonal imbalances
- Uterine abnormalities
- Systemic conditions
- Medications
INVESTIGATIONS & DIAGNOSIS
- FBC: rule out iron deficiency anaemia o Some need no investigation:
- Isolated menorrhagia o Known Fibroids <3cm o Adenomyosis
o Further investigations based on clinical findings:
o Hysteroscopy: submucosal fibroids, endometrial issues
o Pelvic ultrasound: large fibroids
o Transvaginal ultrasound: adenomyosis - Bimanual pelvic examination, Speculum examination, Abdominal examination if: Intermittent pain, Pressure symptoms, persistent intermittent bleeding.