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10-Dec-2017 06:24

Both continuous and cyclic regimens of COC administration have been associated with BTB.

Causes include missed pills, drug interactions with anticonvulsants, rifampicin, and certain antibiotics, but BTB most commonly results from an imbalance between the estrogen and progestin that makes the endometrial lining unstable or fragile.

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Many of the disorders causing menorrhagia may also present with metrorrhagia or a combination of heavy and frequent irregular periods (menometrorrhagia).The intent of this chapter is to review the etiology, evaluation, diagnosis, and medical and surgical management of AUB in women during midlife.