Diagnostic Approach
The diagnosis can often be made on the basis of the bleeding history, physical examination, and other medical tests as appropriate. Typically a pregnancy test and additional hormonal tests, a Pap smear, a transvaginal ultrasound are needed. If bleeding was excessive or prolonged, a CBC may be useful to check for anemia. Abnormal endometrium may have to be investigated by a hysteroscopy with a biopsy or a dilation and curettage.
The treatment will be directed at the cause. Hormonal bleeding problems during the reproductive years, if bothersome to the woman, are frequently managed by use of combined oral contraceptive pills.
Read more about this topic: Vaginal Bleeding
Famous quotes containing the word approach:
“I have watched ... many literary fashions shoot up and blossom, and then fade and drop.... Yet with the many that I have seen come and go, I have never yet encountered a mode of thinking that regarded itself as simply a changing fashion, and not as an infallible approach to the right culture.”
—Ellen Glasgow (18731945)