Quantitative Measurements of Menstrual Blood Loss in Ovulatory and Anovulatory Cycles in Middle- and Late-Reproductive Age and the Menopausal Transition

Hale, Georgina E.; Manconi, Frank; Luscombe, Georgina; Fraser, Ian S.

doi:10.1097/aog.0b013e3181ca4b3a

Cited by 36 publications

(22 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Disorders of ovulation may present as a spectrum of menstrual abnormalitiesranging from amenorrhea, through extremely light and infrequent bleeding, to episodes of unpredictable and extreme HMB requiring medical or surgical intervention. Some of these manifestations relate to the absence of predictable cyclic progesterone production from the corpus luteum every 22-35 days, but in later reproductive years many relate to unusual "disturbed" ovulations, which have been labeled as "luteal out-of-phase" events [34,35].…”

Section: Ovulatory Dysfunction (Aub-o)mentioning

confidence: 99%

FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age

Munro

Critchley

Broder

et al. 2011

Intl J Gynecology & Obste

Self Cite

1,314

917

View full text Add to dashboard Cite

There is general inconsistency in the nomenclature used to describe abnormal uterine bleeding (AUB), in addition to a plethora of potential causes-several of which may coexist in a given individual. It seems clear that the development of consistent and universally accepted nomenclature is a step toward rectifying this unsatisfactory circumstance. Another requirement is the development of a classification system, on several levels, for the causes of AUB, which can be used by clinicians, investigators, and even patients to facilitate communication, clinical care, and research. This manuscript describes an ongoing process designed to achieve these goals, and presents for consideration the PALM-COEIN (polyp; adenomyosis; leiomyoma; malignancy and hyperplasia; coagulopathy; ovulatory dysfunction; endometrial; iatrogenic; and not yet classified) classification system for AUB, which has been approved by the International Federation of Gynecology and Obstetrics (FIGO) Executive Board as a FIGO classification system.

show abstract

Section: Ovulatory Dysfunction (Aub-o)mentioning

confidence: 99%

FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age

Munro

Critchley

Broder

et al. 2011

Intl J Gynecology & Obste

Self Cite

1,314

917

View full text Add to dashboard Cite

show abstract

“…The main cause of iron deficiency anemia in fertile women is heavy menstrual bleeding (41). Heavy menstrual bleeding increases with age (42). Thus, as women postpone childbirth, they become more exposed to the risk of heavy menstrual bleeding and subsequent anemia.…”

Section: Added Health Benefits Of Hormonal Contraceptionmentioning

confidence: 99%

Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Kallner

Danielsson

2016

Upsala Journal of Medical Sciences

View full text Add to dashboard Cite

Preservation of fertility and optimizing health before pregnancy is becoming increasingly important in societies where childbirth often is postponed. Research shows that as women postpone childbirth they achieve higher levels of education and higher incomes. This leads to advantages for their children and for society. However, as women postpone childbearing they are at risk for contracting conditions which may affect fertility and/or pregnancies, pregnancy outcome, and the newborn child. Preconception counseling is therefore becoming increasingly important. Women are often unaware of the added health benefits of contraception and have the right to be well informed so they can make decisions to fulfill their reproductive desires. Contraception can reduce the risk of unintended pregnancies, ectopic and molar pregnancies, and sexually transmitted infections. In addition, hormonal contraceptives reduce the risk of some types of cancer, dysmenorrhea, heavy menstrual bleeding, and anemia and are a treatment for endometriosis. Contraception should increasingly be looked upon as a means of preserving fertility and optimizing health status before a planned pregnancy. Thus, effective contraception can provide women with a possibility of achieving their long-term reproductive goals, although childbearing is actually postponed. The most effective contraceptive methods are the long-acting reversible contraceptives, which have been shown to be highly effective especially in young women who have difficulties with adherence to user-dependent methods. Therefore, these methods should increasingly be promoted in all age groups.

show abstract

“…In the week preceeding menstruation, progesterone and estradiol levels fall. However, in midlife women, anovulatory events are increasingly frequent and the proportion of days before and after the LH surge begins to shift 1–3 , which has lead to questions concerning the role of reproductive aging in the reporting of sleep disturbances in women 4–5 .…”

Section: Introductionmentioning

confidence: 99%

Actigraphy-defined measures of sleep and movement across the menstrual cycle in midlife menstruating women

et al. 2015

View full text Add to dashboard Cite

Objective To evaluate patterns in actigraphy-defined sleep measures across the menstrual cycle, testing the hypothesis that sleep would be more disrupted in the premenstrual period, i.e. in the 14 days prior to menses. Methods A community-based, longitudinal study of wrist actigraphy-derived sleep measures was conducted with 163 women (58 African-American, 78 White, and 27 Chinese) of late reproductive age (mean=51.5, SD=2.0 years) from the Study of Women's Health Across the Nation (SWAN) Sleep Study. Daily measures of sleep [sleep efficiency (%) and total sleep time (minutes)] and movement during sleep [mean activity score (counts)] were characterized using wrist actigraphy across a menstrual cycle or 35 days, whichever was shorter. Data were standardized to 28 days to account for the variation of unequal cycle lengths and divided into four weekly segments for analyses. Results Sleep efficiency percentage declined gradually across the menstrual cycle, but the decline became pronounced in fourth week, the premenstrual period. Compared with third week, sleep efficiency declined by 5% (p<0.0001) and mean total sleep time was 25 minutes less (p=0.0002) in fourth week. No significant mean differences were found when comparing the means of second week versus third week. The association of weekly segments with sleep efficiency or minutes of total sleep time was modified by sociodemographic and lifestyle factors, including body mass index (BMI), race, study site, financial strain, marital status, and smoking. Conclusions Sleep varied systematically across the menstrual cycle in women of late reproductive age, including a gradual decline in sleep efficiency across all weeks, with a more marked change premenstrually during the last week of the menstrual cycle. These sleep changes may be modifiable by altering lifestyle factors.

show abstract

Quantitative Measurements of Menstrual Blood Loss in Ovulatory and Anovulatory Cycles in Middle- and Late-Reproductive Age and the Menopausal Transition

Abstract: III.

Cited by 36 publications

References 26 publications

FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age

FIGO classification system (PALM‐COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age

Prevention of unintended pregnancy and use of contraception—important factors for preconception care

Actigraphy-defined measures of sleep and movement across the menstrual cycle in midlife menstruating women

Contact Info

Product

Resources

About