{"id":575,"date":"2017-04-04T06:37:41","date_gmt":"2017-04-04T06:37:41","guid":{"rendered":"http:\/\/papergp.com\/?page_id=575"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"intermenstrual-bleeding","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/womens-health\/intermenstrual-bleeding\/","title":{"rendered":"Intermenstrual bleeding"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Cervical, vaginal Ca &#8211; smear, weight loss, PCB<\/li>\n<li>Ectopic &#8211; LMP<\/li>\n<li>STI &#8211; fevers, PV discharge, sexual history<\/li>\n<li>Ectropion &#8211; PCB<\/li>\n<li>Polyp<\/li>\n<li>Ovulation spotting<\/li>\n<li>Trauma<\/li>\n<li>UTI &#8211; dysuria, frequency<\/li>\n<li>PR bleed &#8211; bowel habit<\/li>\n<li>Medications &#8211; HRT, tamoxifen, oral contraception<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; PCB, pregnant, fevers, weight loss, missed smears<\/li>\n<li>Others &#8211; as above<\/li>\n<li>Examine\n<ul>\n<li>BP, pulse, temperature<\/li>\n<li>speculum\/pelvic<\/li>\n<li>urine dip, pregnancy test<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Swabs<\/li>\n<li>Pregnancy test<\/li>\n<li>Cervical smear (if due)<\/li>\n<li>USS pelvis<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Treat underlying cause<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up \/ Safety-net<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Cervical, vaginal Ca &#8211; smear, weight loss, PCB Ectopic &#8211; LMP STI &#8211; fevers, PV discharge, sexual history Ectropion &#8211; PCB Polyp Ovulation spotting Trauma UTI &#8211; dysuria, frequency PR bleed &#8211; bowel habit Medications &#8211; HRT, tamoxifen, oral contraception &nbsp; Data gathering Red flags &#8211; PCB, pregnant, fevers, weight loss, missed smears &hellip; <a href=\"https:\/\/papergp.com\/index.php\/womens-health\/intermenstrual-bleeding\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Intermenstrual bleeding<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":122,"menu_order":109,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-575","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=575"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/575\/revisions"}],"predecessor-version":[{"id":1965,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/575\/revisions\/1965"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/122"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}