(3) The American College of Obstetricians and Gynecologists has adopted this classification system and recommends that such historically used terminology as "dysfunctional uterine bleeding," "menorrhagia," and "metrorrhagia
" be abandoned.
The term menorrhagia was later replaced by heavy menstrual bleeding, and the term metrorrhagia
was replaced by intermenstrual bleeding (3-5).
FIGO also proposes to discard some definitions from accepted terminology, such as "menorrhagia", "metrorrhagia
", "hyper/hypomenorrhea", "polymenorrhea" and "dysfunctional uterine bleeding" as they are controversial, confusing and poorly defined (13,14).
The majority of PTs were reproductive system related disorders (Breast enlargement, breast tenderness, dysmenorrhea, ectopic pregnancy, menorrhagia, menstruation delayed, metrorrhagia
, nipple disorder, pregnancy after post coital contraception, premenstrual syndrome) and the remaining were categorized under miscellaneous category (Diarrhoea, dysuria, fungal infection, muscle spasm, pollakiuria).
 Women with abnormal uterine bleeding most commonly present in the gynaecological outpatient department with menorrhagia, polymenorrhoea, oligomenorrhoea, metrorrhagia
and intermenstrual bleeding.
Only 31.5% (47/149) of those samples NG positives were obtained in symptomatic women (women presenting at least one of the following genital symptoms: leucorrhoea, pelvic pain/dyspareunia, pruritus, menorrhagia, metrorrhagia
, or dysuria).
A 48 year-old woman presented with a 3-months metrorrhagia
. Her personal history and general examination were normal.
The most common presentations are menorrhagia, polymenorrhea, metrorrhagia
, and intermenstrual bleeding.
Menstrual irregularities refer to any kind of changes occurring in amount or duration of bleeding in normal menstrual cycle which includes menorrhagia (menstruation >7 days), hypomenorrhea (menstruation <3 days), polymenorrhea (menstrual interval <21 days), oligomenorrhea (menstrual interval >35 days), dysmenorrhea (severe abdominal pain and unable to carry out daily routine activities), metrorrhagia
(spotting between menstrual cycle), and amenorrhea (menstrual interval >3 months).
In univaried analysis, pain, metrorrhagia
, accidental discovery, number of examiners, type of examiner, examination without narcosis, obesity, and failure to perform a CT scan were the overriding factors.
In the concept of TCM, anovulatory infertility can be classified as "amenorrhea," "Zhengjia," "sterility," "metrorrhagia
and metrostaxis," "depleted blood," and so on .
Symptomatic myomas are associated with abnormal uterine bleeding (menorrhagia and/or metrorrhagia
) pelvic pain due to myoma degeneration or torsion of a pedunculated myoma and pressure to adjacent organs, such as the bladder (urgency, frequency, or incontinence), ureters (hydronephrosis), pelvic veins (discomfort and pelvic pain), and rectum (constipation and tenesmus) [32-34].