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Usual causes of abnormal genital bleeding in women by age group

Usual causes of abnormal genital bleeding in women by age group
Neonates
Estrogen withdrawal
Premenarchal
Foreign body
Trauma, including sexual abuse
Infection
Urethral prolapse
Sarcoma botryoides
Ovarian tumor
Precocious puberty
Early postmenarche
Ovulatory dysfunction (hypothalamic immaturity)
Bleeding diathesis
Stress (psychogenic, exercise induced)
Pregnancy
Infection
Reproductive-age
Ovulatory dysfunction
Pregnancy
Cancer
Polyps, leiomyomas, adenomyosis
Infection
Endocrine dysfunction (polycystic ovary syndrome, thyroid, hyperprolactinemia)
Bleeding diathesis
Medication related (eg, hormonal contraception)
Menopausal transition
Anovulation
Polyps, fibroids, adenomyosis
Cancer
Menopause
Endometrial polyps
Cancer
Postmenopausal hormone therapy
Adapted from: APGO educational series on women's health issues. Clinical management of abnormal uterine bleeding. Association of Professors of Gynecology and Obstetrics, May 2002.
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