Female Gynaecology Red Flags

Symptom Causes
Menorrhagia Uterine Fibroids

Uterine polyps

Pelvic inflammatory disease

Adenomyosis

Intrauterine Device (IUD)

Anti-coagulant medications

Anti-inflammatory medications

Miscarriage
Uterine Cancer

Amenorrhea Pregnancy

Breast feeding

Menopause
Contraceptives
Polycystic ovary syndrome
Uterine scarring
Hyper/hypothyroidism

Stress
Pituitary tumour

Irregular menses Stress

Polycystic ovary syndrome

Endometriosis

PID
Birth control pills

Intermenstrual bleeding Recent contraceptive change < 3/12

– IUD

– Birth control pill
– Implant
– Injection
– Patch

Miscarriage

Ectopic pregnancy

Uterine fibroids

PID

Foreign object

Cervical/Uterine Cancer

Post coital bleeding Infections

Cervical ectropion

Cervical/uterine polyps

Trauma

Vagina/cervical cancer

Dyspareunia Trauma

PID

Vaginismus (spasm)

Congenital abnormality

Endometriosis

Uterine prolapse

Ovarian cysts

Fibroids

Retroverted uterus

Uterine cancer

Postmenopausal bleeding Uterine polyps

Endometrial atrophy (thinning of inner layer)

Endometrial hyperplasia (thickening)

Endometrial cancer

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