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Endometriosis and abnormal uterine bleedingFrom: D. Ashley Hill (dahmd@cfl.rr.com)Tue Aug 28 23:36:35 2007
Listmembers: I could use a hand. I am co-authoring a monograph on abnormal uterine bleeding and one of the other authors has asked me to comment on endometriosis as a cause of abnormal uterine bleeding. I am unfamiliar with endo as a cause of AUB and can't think of a biologic reason why endo would cause AUB (outside of cervical endometriosis). A literature search revealed 2 references (1956 and 1980) and both appear fairly weak. I suspect it's an urban myth that endo causes AUB, but might change my mind with coherent references. Does anayone really consider endo as part of the differential diagnosis when a patient presents with endometriosis, and what treatment stratengies would you employ to treat AUB "caused" by endometriosis. Before someone says "Google is your friend," note that of the seemingly endless number of sites that mention endometriosis as a cause of AUB, none include a reference and the majority seem to be a cut and paste of other web sites. One author of a peds gynecology text mentions endo as a cause of AUB, but to my knowledge does not provide a reference (I don't have the latest edition) to support this belief. Does anyone have a valid reference describing the relationship between endometriosis and AUB? Thanks very much for your help. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Medical Director, Loch Haven Ob/Gyn Group Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando Orlando, Florida
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