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Menstrual spotting

MedGen UID:
552576
•Concept ID:
C0312414
•
Sign or Symptom
Synonym: Spotting
SNOMED CT: Menstrual spotting (9126005); Spotting (9126005)

Professional guidelines

PubMed

Identification and treatment of a cervical sinus tract in a patient with 10 years of infertility.
Zheng RR, Zhou K, Yu C, Rundura MC, Irani DM, Chen LX, Lin F
Fertil Steril 2021 Aug;116(2):599-601. Epub 2021 May 28 doi: 10.1016/j.fertnstert.2021.05.074. PMID: 34053676

Recent clinical studies

Etiology

A morphological study of symptomatic uterine niche using three-dimensional models from thin-slice magnetic resonance imaging.
Xia W, Sun T, Wang Y, Tian Y, Yan L, Liang Y, He C, Zhang J, Huang H
Reprod Biomed Online 2024 Apr;48(4):103683. Epub 2023 Nov 7 doi: 10.1016/j.rbmo.2023.103683. PMID: 38340538
Link between cesarean section scar defect and secondary infertility: Case reports and review.
Ahamed FM, Solkar S, Stevikova M, Moya BP
JBRA Assist Reprod 2023 Mar 30;27(1):134-141. doi: 10.5935/1518-0557.20220009. PMID: 36107032Free PMC Article
Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section.
Talamonte VH, Lippi UG, Lopes RG, Stabile SA
Einstein (Sao Paulo) 2012 Jan-Mar;10(1):53-6. doi: 10.1590/s1679-45082012000100011. PMID: 23045826
Sonographically detected caesarean section scar defects and menstrual irregularity.
Uppal T, Lanzarone V, Mongelli M
J Obstet Gynaecol 2011 Jul;31(5):413-6. doi: 10.3109/01443615.2011.577252. PMID: 21627425
Findings in patients with postmenstrual spotting with prior cesarean section.
Borges LM, Scapinelli A, de Baptista Depes D, Lippi UG, Coelho Lopes RG
J Minim Invasive Gynecol 2010 May-Jun;17(3):361-4. doi: 10.1016/j.jmig.2010.02.007. PMID: 20417429

Diagnosis

A morphological study of symptomatic uterine niche using three-dimensional models from thin-slice magnetic resonance imaging.
Xia W, Sun T, Wang Y, Tian Y, Yan L, Liang Y, He C, Zhang J, Huang H
Reprod Biomed Online 2024 Apr;48(4):103683. Epub 2023 Nov 7 doi: 10.1016/j.rbmo.2023.103683. PMID: 38340538
Link between cesarean section scar defect and secondary infertility: Case reports and review.
Ahamed FM, Solkar S, Stevikova M, Moya BP
JBRA Assist Reprod 2023 Mar 30;27(1):134-141. doi: 10.5935/1518-0557.20220009. PMID: 36107032Free PMC Article
Identification and treatment of a cervical sinus tract in a patient with 10 years of infertility.
Zheng RR, Zhou K, Yu C, Rundura MC, Irani DM, Chen LX, Lin F
Fertil Steril 2021 Aug;116(2):599-601. Epub 2021 May 28 doi: 10.1016/j.fertnstert.2021.05.074. PMID: 34053676
Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section.
Talamonte VH, Lippi UG, Lopes RG, Stabile SA
Einstein (Sao Paulo) 2012 Jan-Mar;10(1):53-6. doi: 10.1590/s1679-45082012000100011. PMID: 23045826
Findings in patients with postmenstrual spotting with prior cesarean section.
Borges LM, Scapinelli A, de Baptista Depes D, Lippi UG, Coelho Lopes RG
J Minim Invasive Gynecol 2010 May-Jun;17(3):361-4. doi: 10.1016/j.jmig.2010.02.007. PMID: 20417429

Therapy

Link between cesarean section scar defect and secondary infertility: Case reports and review.
Ahamed FM, Solkar S, Stevikova M, Moya BP
JBRA Assist Reprod 2023 Mar 30;27(1):134-141. doi: 10.5935/1518-0557.20220009. PMID: 36107032Free PMC Article
Menstrual bleeding and spotting with the Levonorgestrel Intrauterine System (52 mg) during the first-year after insertion: a systematic review and meta-analysis.
Maldonado LY, Sergison JE, Gao X, Hubacher D
Am J Obstet Gynecol 2020 May;222(5):451-468.e9. Epub 2019 Oct 4 doi: 10.1016/j.ajog.2019.09.044. PMID: 31589865
Sonographically detected caesarean section scar defects and menstrual irregularity.
Uppal T, Lanzarone V, Mongelli M
J Obstet Gynaecol 2011 Jul;31(5):413-6. doi: 10.3109/01443615.2011.577252. PMID: 21627425
Findings in patients with postmenstrual spotting with prior cesarean section.
Borges LM, Scapinelli A, de Baptista Depes D, Lippi UG, Coelho Lopes RG
J Minim Invasive Gynecol 2010 May-Jun;17(3):361-4. doi: 10.1016/j.jmig.2010.02.007. PMID: 20417429
Contraceptive efficacy of bioabsorbable pellets of norethindrone (NET) as subcutaneous implants: phase II clinical study.
Singh M, Saxena BB, Landesman R, Ledger WJ
Adv Contracept 1985 Jun;1(2):131-49. doi: 10.1007/BF01849794. PMID: 3842214

Prognosis

Identification and treatment of a cervical sinus tract in a patient with 10 years of infertility.
Zheng RR, Zhou K, Yu C, Rundura MC, Irani DM, Chen LX, Lin F
Fertil Steril 2021 Aug;116(2):599-601. Epub 2021 May 28 doi: 10.1016/j.fertnstert.2021.05.074. PMID: 34053676
No correlation between serum testosterone levels and state-level anger intensity in transgender people: Results from the European Network for the Investigation of Gender Incongruence.
Defreyne J, Kreukels B, T'Sjoen G, Staphorsius A, Den Heijer M, Heylens G, Elaut E
Horm Behav 2019 Apr;110:29-39. Epub 2019 Mar 2 doi: 10.1016/j.yhbeh.2019.02.016. PMID: 30822410

Clinical prediction guides

No correlation between serum testosterone levels and state-level anger intensity in transgender people: Results from the European Network for the Investigation of Gender Incongruence.
Defreyne J, Kreukels B, T'Sjoen G, Staphorsius A, Den Heijer M, Heylens G, Elaut E
Horm Behav 2019 Apr;110:29-39. Epub 2019 Mar 2 doi: 10.1016/j.yhbeh.2019.02.016. PMID: 30822410
Hysteroscopic findings in patients with post-menstrual spotting with prior cesarean section.
Talamonte VH, Lippi UG, Lopes RG, Stabile SA
Einstein (Sao Paulo) 2012 Jan-Mar;10(1):53-6. doi: 10.1590/s1679-45082012000100011. PMID: 23045826
Findings in patients with postmenstrual spotting with prior cesarean section.
Borges LM, Scapinelli A, de Baptista Depes D, Lippi UG, Coelho Lopes RG
J Minim Invasive Gynecol 2010 May-Jun;17(3):361-4. doi: 10.1016/j.jmig.2010.02.007. PMID: 20417429

Recent systematic reviews

Menstrual bleeding and spotting with the Levonorgestrel Intrauterine System (52 mg) during the first-year after insertion: a systematic review and meta-analysis.
Maldonado LY, Sergison JE, Gao X, Hubacher D
Am J Obstet Gynecol 2020 May;222(5):451-468.e9. Epub 2019 Oct 4 doi: 10.1016/j.ajog.2019.09.044. PMID: 31589865

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