Anormal Uterin Kanamaya Birinci Basamakta Yaklaşım
Özet
Anormal Uterin Kanama (AUK), kadınlarda menstrüel döngünün sıklık, düzen, süre veya miktar kriterlerinden birinde meydana gelen sapmalar olarak tanımlanmakta ve FIGO tarafından PALM-COEIN sistemiyle sınıflandırılmaktadır. Birinci basamak sağlık hizmetlerinde tanı süreci; detaylı jinekolojik anamnez, fizik muayene ve gebeliğin mutlak dışlanmasıyla başlarken, yapısal bozuklukların tespiti için transvajinal ultrason temel görüntüleme yöntemi olarak kullanılmaktadır. Hastanın reprodüktif dönem, adölesan veya postmenopozal olmasına göre farklı yaklaşımlar sergilenmekte, özellikle postmenopozal dönemdeki her türlü kanama malignite riski nedeniyle ileri inceleme gerektirmektedir.
Abnormal Uterine Bleeding (AUB) is defined as deviations in the frequency, regularity, duration, or volume of the menstrual cycle and is categorized by the FIGO PALM-COEIN system. In primary care, the diagnostic process begins with a detailed gynecological history, physical examination, and the absolute exclusion of pregnancy, while transvaginal ultrasound is the primary imaging modality for detecting structural abnormalities. Management strategies vary depending on whether the patient is in the reproductive, adolescent, or postmenopausal stage, with any bleeding in postmenopausal women requiring advanced investigation due to malignancy risks.
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