Menoraji

Aşırı âdet kanaması
Uzmanlık	Jinekoloji

Menoraji veya aşırı âdet kanaması, âdet döneminde aşırı vajinal akıntının meydana geldiği ve anormal uterin kanama (AUK) kategorisinde değerlendirilen durum.[1][2]

Anormal uterin kanamaları üreme sistemindeki yapısal anormallikler, anovülasyon, kanama bozuklukları, hormon sorunları (hipotiroidizm gibi) veya üreme sisteminde bulunan kanserlerden kaynaklanabilir. İlk değerlendirme, hamilelik durumu, menopozal durum ve kanama kaynağını bulmayı amaçlar.

Tedavi durumun nedenine, şiddetine ve yaşam kalitesine olan etkisine bağlıdır.[3] İlk tedavi genellikle kontraseptif hapları içerir. Cerrahi yöntemler, semptomları geçirelemeyen kadınlarda ikinci adım tedavi olabilir.[4] 1000 kadından yaklaşık 53'ü AUK'dan etkilenmektedir.[5]

Ayrıca bakınız

Menometroraji

Kaynakça

Munro MG, Critchley HO, Broder MS, Fraser IS (Nisan 2011). "FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age". International Journal of Gynaecology and Obstetrics. 113 (1). ss. 3-13. doi:10.1016/j.ijgo.2010.11.011. PMID 21345435.
Bacon JL (Haziran 2017). "Abnormal Uterine Bleeding: Current Classification and Clinical Management". Obstetrics and Gynecology Clinics of North America. 44 (2). ss. 179-193. doi:10.1016/j.ogc.2017.02.012. PMID 28499529.
Committee on Practice Bulletins—Gynecology (Temmuz 2013). "Practice bulletin no. 136: management of abnormal uterine bleeding associated with ovulatory dysfunction". Obstetrics and Gynecology. 122 (1). ss. 176-85. doi:10.1097/01.AOG.0000431815.52679.bb. PMID 23787936.
Marjoribanks J, Lethaby A, Farquhar C (Ocak 2016). "Surgery versus medical therapy for heavy menstrual bleeding". The Cochrane Database of Systematic Reviews, 1. ss. CD003855. doi:10.1002/14651858.CD003855.pub3. PMID 26820670.
Kjerulff KH, Erickson BA, Langenberg PW (Şubat 1996). "Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992". American Journal of Public Health. 86 (2). ss. 195-9. doi:10.2105/ajph.86.2.195. PMC 1380327 $2. PMID 8633735.

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[Munro_3–132-1] Munro MG, Critchley HO, Broder MS, Fraser IS (Nisan 2011). "FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age". International Journal of Gynaecology and Obstetrics. 113 (1). ss. 3-13. doi:10.1016/j.ijgo.2010.11.011. PMID 21345435.

[Bac20172-2] Bacon JL (Haziran 2017). "Abnormal Uterine Bleeding: Current Classification and Clinical Management". Obstetrics and Gynecology Clinics of North America. 44 (2). ss. 179-193. doi:10.1016/j.ogc.2017.02.012. PMID 28499529.

[ncbi.nlm.nih.gov2-3] Committee on Practice Bulletins—Gynecology (Temmuz 2013). "Practice bulletin no. 136: management of abnormal uterine bleeding associated with ovulatory dysfunction". Obstetrics and Gynecology. 122 (1). ss. 176-85. doi:10.1097/01.AOG.0000431815.52679.bb. PMID 23787936.

[4] Marjoribanks J, Lethaby A, Farquhar C (Ocak 2016). "Surgery versus medical therapy for heavy menstrual bleeding". The Cochrane Database of Systematic Reviews, 1. ss. CD003855. doi:10.1002/14651858.CD003855.pub3. PMID 26820670.

[5] Kjerulff KH, Erickson BA, Langenberg PW (Şubat 1996). "Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992". American Journal of Public Health. 86 (2). ss. 195-9. doi:10.2105/ajph.86.2.195. PMC 1380327 $2. PMID 8633735.