Review of the confusion in current and historical terminology and definitions for disturbances of menstrual bleeding.

Abstract:

OBJECTIVE:There has been increasing recent recognition of the worldwide confusion in the terminology and definitions for abnormalities of menstrual and uterine bleeding. The present review was undertaken to objectively explore some of the origins and current uses of terms for symptoms, signs, and causes of abnormal uterine bleeding and to demonstrate the international lack of uniformity. DESIGN:A detailed, but not systematic, search of the huge current and historical literature across the range of menstrual terminology, definitions, and some causes, with an emphasis on "menorrhagia" and "dysfunctional uterine bleeding." SETTING:An international collaboration to study ways of reaching worldwide agreement on descriptive terms and definitions for abnormal bleeding. RESULT(S):A large number of synonyms and overlapping terms for heavy menstrual bleeding have been identified, as well as smaller numbers of terms for other symptoms and causes of abnormal uterine bleeding. The origins and meanings of several of these terms have been explored in detail and wide variations in meaning demonstrated. CONCLUSION(S):There is great confusion in the way these terminologies are used and there is an urgent need for international agreement on consistent use of terms and definitions for symptoms, signs, and causes of abnormal uterine bleeding.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Woolcock JG,Critchley HO,Munro MG,Broder MS,Fraser IS

doi

10.1016/j.fertnstert.2007.10.060

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

2269-80

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(07)03946-5

journal_volume

90

pub_type

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