Reference no: EM133445782

A 29-year-old patient presents in the clinic with bleeding in between menses. Onset of menarche was age 14 and she has had regular monthly menses. For the past 2 months, she has had spotting between menses. She is not on any hormonal birth control, and she uses condoms occasionally to prevent pregnancy and STIs. She is currently with a new partner of 6 months, and she has not been tested for STIs with this partner. She is in the clinic because she is concerned about why she has spotting in between menses. She is considering possibly regulating her menses. Upon history taking and physical exam, you do not notice anything abnormal. You suspect this is a case of dysfunctional uterine bleeding.

Based on your working diagnosis, patient's HPI, and your physical assessment, discussing the following information:

· Definition of DUB/AUB. What is this condition? Why is this important to address?

· Prevalence and risk factors

· Presentation

· Pathophysiology

· Physical assessment and testing to confirm diagnosis

· Provide at least 1 differential diagnosis and an exam and/or lab test to rule out this diagnosis.

· If a patient is hesitant on taking medication or intervening now, how long can she continue to "watchfully observe" her situation before an intervention must occur?

· Treatment or management of dysfunctional uterine bleeding for a patient who is currently not planning a pregnancy.

· Treatment or management of dysfunctional uterine bleeding for a patient who is currently planning a pregnancy.