Differential Diagnosis
Conditions that should be considered in the diagnosis of heavy menstrual bleeding include:
- Menopause and perimenopause
- Pregnancy
- Nonstructural
causes
- Coagulopathy
- Ovulatory dysfunction
- Structural
causes
- Endometrial polyps
- Adenomyosis
- Uterine fibroids
- Endometrial hyperplasia or carcinoma
- Iatrogenic