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  2. levels can result in menstrual cycle abnormalities. Hormonal changes are not necessarily pathological; they can be caused by a variety of conditions and factors (e.g., medication, stress). Abnormal menstrual patterns are identified based on changes in the frequency, intensity, and onset of bleeding
  3. Endometrial cancer: Postmenopausal bleeding, a history of early menarche, and metabolic syndrome should prompt evaluation for endometrial cancer. Although it is the most common gynecological malignancy in the United States, this patient has a history of multiple pregnancies, which is a protective factor against endometrial cancer
  4. Postpartum hemorrhage (PPH) is an obstetric emergency and is defined as a blood loss ≥ 1000 mL or blood loss presenting with signs or symptoms of _Definitions#Z2c4b7b192fbfa8d2679ddc134ed0e9c5 data-lxid=Ig0Y92>hypovolemia within 24 hours of delivery. It is the number one cause of maternal morbidity and mortality worldwide
  5. Diffuse uterine leiomyomatosis: The uterus is grossly enlarged due to the presence of numerous fibroids
  6. The main symptom is often painless, vaginal bleeding, which presents at an early stage. Later stages may manifest with pelvic pain and a palpable mass, whereby pelvic exams are often normal. The diagnosis is made primarily via a

Abnormal uterine bleeding is a common symptom in women. The acronym PALM-COEIN facilitates classification, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and COEIN referring to nonstructural etiologies (coagulopathy, ovulatory dysfunction, e The acronym PALM-COEIN facilitates the classification of abnormal uterine bleeding, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and..

Abnormal uterine bleeding (formerly, dysfunctional uterine bleeding [DUB] [ 1]) is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease,.. Abnormal uterine bleeding is when you bleed between your monthly periods, or when you bleed for too long or it is an extremely heavy flow. Normal menstrual flow typically lasts approximately five days and occurs every 21 to 35 days. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission Once the acute bleeding episode has been controlled, transitioning the patient to long-term maintenance therapy is recommended. Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy 1 2

Abnormal uterine bleeding is when you bleed outside of your normal monthly period. You might hear it called anovulatory bleeding. Your flow could also be heavier or last longer than what's typical... Ovulatory abnormal uterine bleeding, or menorrhagia, may be caused by thyroid dysfunction, coagulation defects (most commonly von Willebrand disease), endometrial polyps, and submucosal fibroids... Polycystic ovary syndrome (PCOS) is a common cause of abnormal uterine bleeding. 49 The diagnostic criteria for PCOS include at least two of the following 50, 51: Menstrual irregularity due to oligo- or anovulation. Signs of androgen excess, either on physical examination (eg, hirsutism, acne) or laboratory testing (eg, elevated testosterone) Common causes of post-menopausal bleeding include the intake of hormones, thin and fragile lining of the uterus and vagina (vaginal atrophy), infection, cellular changes in the vagina, cervix or uterus that could lead to cancer with time and cancer in the vagina, cervix or uterus. Some of the Causes of Abnormal Uterine Bleeding AUB can be caused by structural uterine pathology (eg, fibroids, endometrial polyps, adenomyosis, neoplasia) or nonuterine causes (eg, ovulatory dysfunction, disorders of hemostasis, medications) (table 1). The evaluation of nonpregnant reproductive-age patients with AUB will be reviewed here

Abnormal uterine bleeding has many causes. It's sometimes caused by changes in hormone levels. It can also be caused by problems such as growths in the uterus or clotting problems. In some cases the cause of the bleeding isn't known Endocrinology is the study of the endocrine system (i.e., the. hypothalamus. , pituitary gland. , thyroid gland, adrenals, and gonads ), metabolic diseases, and certain aspects of nutritional medicine. The endocrine glands are responsible for producing and secreting. hormones. , which influence the function of cells in certain tissues of the body

The menstrual cycle and menstrual cycle abnormalities - AMBOS

Abnormal uterine bleeding is a common presenting problem in the emergency department (ED). Abnormal (d ysfunctional) uterine bleeding (AUB) is defined as abnormal uterine bleeding in the absence of organic disease.Abnormall uterine bleeding is the most common cause of abnormal vaginal bleeding during a woman's reproductive years. Abnormal uterine bleeding can have a substantial financial and. Abnormal uterine bleeding. Abnormal uterine bleeding (AUB) is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and occur often or randomly. It does NOT occur during pregnancy. Bleeding during pregnancy has different causes Dysfunctional Uterine Bleeding or also known as DUB (with ICD 9 Code: 626.8) is the abnormal condition of the uterus where there is an irregular and abnormal bleeding and passing of blood in the vagina. This condition can be caused by several factors and can lead to different kinds of complications Management Of Abnormal Uterine Bleeding. Hira Salman; July 27, 2020; In a Jiffy! / VideoLectures; Spread the Good Vibes. You Might Also Like. MCQ discussion on Cognitive dysfunction with hypothyroidism in an elderly patient from AMBOSS July 13, 2020 Dense Breast tissue with Bilateral Cystic Lesions May 16, 202 Munro MG, Critchley HOD, Fraser IS, FIGO Menstrual Disorders Committee. The two FIGO systems for normal and abnormal uterine bleeding symptoms and classification of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int J Gynaecol Obstet. 2018 Dec. 143 (3):393-408. .

Case 4: Vaginal bleeding - AMBOS

Abnormal uterine bleeding: a case study of menorrhagia Nurse Pract. 2004 Dec;29(12):8, 15-16, 19 passim. doi: 10.1097/00006205-200412000-00002. Author Karen A Stemler 1 Affiliation 1 Yale University School of Nursing, New Haven, Conn, USA. PMID: 15614081 DOI: 10.1097. Introduction. Postmenopausal bleeding (PMB), defined as uterine bleeding occurring after at least 1 year of amenorrhoea, is a common clinical condition with an incidence of 10% immediately after menopause. 1 Patients with PMB have a 10-15% chance of having endometrial carcinoma. 2-6 Therefore, the clinical approach to PMB requires prompt and effective evaluation to exclude cancer in the. Abnormal heart rhythms (e.g., atrial fibrillation) Chest pain; Musculoskeletal: Hypothyroid myopathy (proximal muscle weakness with elevated creatine kinase levels) Entrapment syndromes (e.g., carpal tunnel syndrome) Myoedema; Hyperthyroid myopathy (proximal muscle weakness with normal creatinine kinase levels) Osteopathy (osteoporosis.

Abnormal bleeding noted in the genital area is usually attributed to an intrauterine source, but may actually arise from the cervix, vagina, vulva, or fallopian tubes, or be related to ovarian pathology. The origin of bleeding can also involve nongynecologic sites, such as the urethra, bladder, anus/rectum/bowel, or perineum Goserelin is also used in women to prepare the lining of the uterus for endometrial ablation (a surgery to correct abnormal uterine bleeding). Goserelin is sometimes used in combination with another cancer drug called flutamide. Goserelin implant may also be used for purposes not listed in this medication guide Uterine Sarcomas. Uterine sarcomas are a group of disparate, highly malignant cancers developing from the uterine corpus. Common manifestations include abnormal uterine bleeding and pelvic pain or mass. For suspected uterine sarcoma, endometrial biopsy or dilation and curettage can be done, but results are often falsely negative; most sarcomas.

Abnormal Uterine Bleeding in Perimenopausal Women

A 60-year-old G0 female was found on outpatient endometrial biopsy to have abnormal proliferation of stromal and glandular endometrial elements. Overview. Introduction. An estrogen-dependent hyperplasia affecting mainly postmenopausal women. incidence peaks between ages 50 and 60. Risk factors include. increased estrogen exposure Summary. Gestational trophoblastic diseases (GTD) include hydatidiform moles (both complete and partial), invasive moles, and choriocarcinoma.They typically arise from the abnormal fertilization of the ovum. Hydatidiform moles are benign, whereas invasive moles and choriocarcinoma are malignant lesions with a tendency to metastasize to other organs, especially the lungs Abnormal uterine bleeding (AUB) is any symptomatic variation from normal menstruation in terms of regularity, frequency, volume, or duration. It may be acute, chronic, or intermenstrual. AUB affects up to 30% of women of reproductive age. Causes include leiomyomata (fibroids), adenomyosis, endo.. Definition: bleeding > 5 days of unknown cause in women of childbearing age (eMedicine #1, #2); a clinical term, not a pathologist term ; Known causes: adenomyosis, anovulatory cycle, chronic inflammation, drugs with hormonal side effects, ectopic pregnancy, endocrine disorder, endometrial carcinoma (5% - 15% of postmenopausal bleeding), endometrial hyperplasia, endometrial polyp (5% - 15%.

Postpartum hemorrhage - AMBOS

Abnormal uterine bleeding: Management in premenopausal patients View in Chinese process with the goal of avoiding poorly defined or confusing terms used previously (eg, menorrhagia, menometrorrhagia, oligomenorrhea). The classification system is referred to by the acronym PALM-COEIN (polyp Hydatidiform Mole. A 27-year-old female presents to the emergency department at 11 weeks of gestation with 2 days of uterine bleeding and pelvic pressure, as well as multiple daily episodes of nonbloody, nonbilious emesis over the past week. The patient states that the bleeding is like heavy spotting with dark, purplish-colored blood It may also be called dysfunctional uterine bleeding. You may have bleeding from your uterus at times other than your normal monthly period. Your monthly periods may last longer or shorter, and bleeding may be heavier or lighter than usual. AUB can be acute (lasting a short time) or chronic (lasting longer than 6 months) Abnormal Uterine Bleeding: A Case Study of Menorrhagia. The Nurse Practitioner29 (12):8-23, December 2004. Separate multiple e-mails with a (;). Thought you might appreciate this item (s) I saw at The Nurse Practitioner View GYN-amboss.docx from MEDICINE 11 at Medical Academy Karol Marcinkowski in Poznan. GYN Genetics: -Turner syndrome- Ovarian dysgenesis is one of the most common features of Turner syndrome

Uterine leiomyoma - AMBOS

  1. Source: The Nurse Practitioner. December 2004, Volume :29 Number 12 , page 8 - 23 [Buy
  2. Amenorrhea, Anovulation, and Dysfunctional Uterine Bleeding. FIGURE 129-1. Menstrual cycle length in relation to age. The median and 5th and 95th percentiles are indicated. Note the marked variation in length of the menstrual cycle at the extremes of reproductive life
  3. al pain, painful vaginal bleeding, hemodynamic instability & loss in station
  4. Bleeding in the 1st trimester is not always a problem. It may be caused by: Having sex. An infection. The fertilized egg implanting in the uterus. Hormone changes. Other factors that will not harm the woman or baby. More serious causes of first-trimester bleeding include: A miscarriage, which is the loss of the pregnancy before the embryo or.
  5. D&C is used to diagnose and treat many conditions that affect the uterus, such as abnormal bleeding. A D&C also may be done after a miscarriage.A sample of tissue from inside the uterus can be viewed under a microscope to tell whether any cells are abnormal. A D&C may be done with other procedures, such as hysteroscopy, in which a thin, lighted telescope is used to view the inside of the uterus
  6. Abnormal uterine bleeding that is heavy and/or frequent can also cause you to become anemic.   Anemia caused by chronic blood loss makes you tired and weak. With significant blood loss, you may experience shortness of breath and/or heart palpitations, fainting, or chest pain as your body tries to compensate for your anemia
  7. Menorrhagia Dysfunctional uterine bleeding (most) Fibroids Endometriosis PID IUCD Endometrial/cervical polyps Endometrial carcinoma (if >45y) Contraception NON-GYNAE: blood dyscrasia (e.g. von Willebrand), hypothyroidism Inter-menstrual Mid-cycle oestrogen production fall around ovulation Endometrial/cervical polyps Ectropio

Endometrial cancer - AMBOS

Primary Dysmenorrhea. An 18-year-old nulligravid college woman complains of recurrent and cramping lower abdominal pain during menses for the past 3 years. She has nausea and vomiting during menses but denies irregular or heavy periods, pain with intercourse, or abdominal pain outside of menses. Pelvic exam is normal Abnormal Uterine Bleeding. March, 2017. Davis E, Sparzak PB. Abnormal uterine bleeding (dysfunctional uterine bleeding) [Updated 2019 Aug 2]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2019 Jan. Magnon N. Gonadotropin releasing hormone agonists: Expanding vistas Benign collection of endometrial tissue in the uterine wall that extend into the uterine cavity. Also known as uterine polyps. Ranges from a few millimeters to several centimeters in diameter. Pathogenesis. grow in response to estrogen. Epidemiology. in women going through or have completed menopause. Risk factors

Bleeding from the vagina is a common event at all stages of pregnancy. The source is virtually always maternal, rather than fetal. Bleeding usually results from disruption of blood vessels in the decidua (ie, pregnancy endometrium) or from discrete cervical or vaginal lesions. The clinician typically makes a provisional clinical diagnosis based. Heavy menstrual bleeding (HMB or menorrhagia) is a common complaint in primary care and the fourth most common reason for referral to gynaecological secondary care. Each year in England and Wales more than 30,000 women undergo surgical treatment for heavy menstruation.1 Here, the authors explore what can be learned from a typical case study Disseminated intravascular coagulation (DIC) is a rare but serious condition that causes abnormal blood clotting throughout the body's blood vessels. It is caused by another disease or condition, such as an infection or injury, that makes the body's normal blood clotting process become overactive. DIC may develop quickly over hours or days. Polycystic ovary syndrome is the most common endocrinopathy among reproductive-aged women in the United States, affecting approximately 7% of female patients. Although the pathophysiology of the. Uterine incisions made during an operation such as a cesarean section (C-section) might promote the direct invasion of the endometrial cells into the wall of the uterus. Developmental origins. Other experts suspect that endometrial tissue is deposited in the uterine muscle when the uterus is first formed in the fetus

Endometriosis is a common gynecological condition affecting an estimated 2 to 10 percent of American women of childbearing age. The name of this condition comes from the word endometrium, which is the tissue that lines the uterus. During a woman's regular menstrual cycle, this tissue builds up and is shed if she does not become pregnant Bennett AR, Gray SH 2014, What to do when she's bleeding through : the recognition, evaluation, and management of abnormal uterine bleeding in adolescents, Curr Opin Pediatr;26:413-9. Bryant-smith A et al 2018, Antifibrinolytics for heavy menstrual bleeding ( Review ) Cochrane Database Syst Rev Because some or most of the bleeding may be concealed between the placenta and uterine wall, the amount of external (ie, vaginal) bleeding does not necessarily reflect the extent of blood loss or placental separation. Abruptio placentae is the most common life-threatening cause of bleeding during late pregnancy, accounting for about 30% of cases Uterine polyps. Uterine polyps attach to your uterus by a large base or a thin stalk and can grow to be several centimeters in size. Irregular menstrual bleeding, bleeding after menopause, excessively heavy menstrual flow or bleeding between periods could signal the presence of uterine polyps The presence of symptoms (abnormal uterine bleeding) has been identified as a possible risk indicator of malignancy within endometrial polyps [37,39,42-44]. Polyp size also appears to be a risk indicator for malignant endometrial polyps [36,37]. Although the reports are not consistent, other known risk factors for endometrial carcinoma, suc

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding in Premenopausal Wome

  1. Next, your doctor inserts a long, thin instrument (curette) through your cervix into your uterus and carefully removes the tissue lining the inside of the uterus. You may need surgical treatment for menorrhagia if medical therapy is unsuccessful. Treatment options include: Dilation and curettage (D&C). In this procedure, your doctor opens.
  2. ed.
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  4. ated intravascular coagulation. Diagnosis is clinical and sometimes by.
  5. Bleeding and Bruising: A Diagnostic Work-up. A more recent article on bleeding and bruising is available. Am Fam Physician. 2008 Apr 15;77 (8):1117-1124. Primary care physicians are often asked.

Abnormal Uterine Bleeding in Premenopausal Women

Definition (MEDLINEPLUS) Normally, if you get hurt, your body forms a blood clot to stop the bleeding. For blood to clot, your body needs cells called platelets and proteins known as clotting factors. If you have a bleeding disorder, you either do not have enough platelets or clotting factors or they don't work the way they should Dysfunctional uterine bleeding is defined as abnormal uterine bleeding in the absence of uterine pathology or medical illness. It is more often seen in the pubertal and perimenopausal periods, and in most cases, it is associated with anovulation, leading to lack of estrogen-induced negative feedback on the pituitary gland, resulting in unopposed estrogen stimulation to the endometrium A molar pregnancy — also known as hydatidiform mole — is a rare complication of pregnancy characterized by the abnormal growth of trophoblasts, the cells that normally develop into the placenta. an invasive hydatidiform mole penetrates deep into the middle layer of the uterine wall, which causes vaginal bleeding. Persistent GTN can. Uterine leiomyomas (fibroids or myomas) are benign tumors of uterus and clinically apparent in a large part of reproductive aged women. Clinically, they present with a variety of symptoms: excessive menstrual bleeding, dysmenorrhoea and intermenstrual bleeding, chronic pelvic pain, and pressure symptoms such as a sensation of bloatedness, increased urinary frequency, and bowel disturbance Type your text and hit enter to search. Close Menu. Home; Resources. MCQ Banks. U-World; Pass Medicine; Kapla

Abnormal uterine bleeding (AUB) is any bleeding outside of the normal menstrual cycle, and it accounts for nearly one third of all visits to gynecologic providers annually [connect.springerpub.com] while continue to use the terms abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB) Clinical Features The most common clinical presentation of patients with endometrial hyperplasia is abnormal uterine bleeding, whether in the form of menorrhagia, metrorrhagia [emedicine.com] Uterine Leiomyoma. Myomas may be responsible can produce either [amboss.com

Uterine Adenomyosis. Uterine adenomyosis is the presence of endometrial glands and stroma in the uterine musculature; it tends to cause a diffusely enlarged uterus. In adenomyosis, the ectopic endometrial tissue tends to induce diffuse uterine enlargement (globular uterine enlargement). The uterus may double or triple in size but typically does. Dear Educators, You must be using the Class Notebook inside Microsoft Teams. Just in case if you have not tried the feature of building assignments inside the content librar MCQ discussion on Cognitive dysfunction with hypothyroidism in an elderly patient from AMBOSS July 13, 2020 Health maintenance recommendation in CLL patients August 23, 2020 Management Of Abnormal Uterine Bleeding July 27, 202 There can be several causes of postmenopausal bleeding. The most common causes are: inflammation and thinning of the vaginal lining (atrophic vaginitis) or womb lining (endometrial atrophy) - caused by lower oestrogen levels. cervical or womb polyps - growths that are usually non-cancerous. a thickened womb lining (endometrial hyperplasia. Pelvic examination is done to detect anatomic genital abnormalities (eg, imperforate hymen, vaginal septum, vaginal, cervical, or uterine aplasia). A bulging hymen may be caused by hematocolpos, which suggests genital outflow obstruction. Pelvic examination findings also help determine whether estrogen has been deficient. In postpubertal females, thin, pale vaginal mucosa without rugae and pH.

Abnormal (Dysfunctional) Uterine Bleeding: Practice

Severe vaginal bleeding may or may not be related to menstruation. Common causes are dysfunctional uterine bleeding (DUB), uterine fibroids, adenomyosis and genital tract malignancy. Normal menstrual cycles range from 21-35 days, with the estimated blood loss less than 80 ml, with flow not more than 7 days Post-menopausal bleeding: bleeding that occurs after the menopause. Causes include vaginal atrophy, hormone replacement therapy and malignancy (e.g. uterine cancer, cervical cancer and vaginal cancer). Abnormal vaginal discharge: causes include bacterial vaginosis, chlamydia and gonorrhoea

Abnormal Uterine Bleeding - Cleveland Clini

OB/GYN: pre-eclampsia, prenatal management, vaginitis, abnormal uterine bleeding STIs, physiologic changes of pregnancy; Pediatrics: dehydration, meningitis, limp, normal development, asthma; Med School Tutors, and Amboss as they have served as the sources of this blog post. So, that's a wrap on this ultimate guide on shelf exams! I hope. Abnormal bleeding Abdominal pain Missing IUD threads Pregnancy The likelihood that a user will experience a uterine perforation is one in 1,000. However, if it does occur, it will require surgery.

Management of Acute Abnormal Uterine Bleeding in

Abnormal uterine bleeding. Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby; 2007. 915-32. Glasser MH, Zimmerman JD. The HydroThermAblator system for management of menorrhagia in women with submucous myomas: 12- to 20-month follow-up Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight. Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight. Chest pain or pressure. Stomach pain

Abnormal Uterine Bleeding: A Management Algorithm

Abnormal Uterine Bleeding: Symptoms, Causes, Diagnosis

Benacerraf BR, Shipp TD, Bromley B. 3D Ultrasound detection of embedded intrauterine contraceptive devices-a source of pelvic pain and abnormal bleeding. ultrasound. Obstet Gynecol. 2009;34;110-150. Timor-Tritsch IE, Monteagudo A, Tsymbal T. Three-dimensional ultrasound inversion rendering technique facilitates the diagnosis of hydrosalpinx Asherman's syndrome (AS), is an acquired uterine condition that occurs when scar tissue form inside the uterus and/or the cervix. It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another Benign & precancerous tumors of female genital organs. 2. Benign & precancerous tumors of vulva. 3. Urethral Caruncle• A urethral caruncle is a small, fleshy outgrowth of the distal edge of the urethra.•. The tissue of the caruncle is soft, smooth, friable, and bright red and initially appears as an eversion of the urethra• They occur.

Evaluation and Management of Abnormal Uterine Bleeding in

[WEBINAR] Management of Abnormal Uterine Bleeding due to Ovarian Dysfunction. Posted on June 14, 2021 by UPCM Administrator. Join us again on May 16 at 12 noon Manila time with Dr. Antonia Habana who will give the presentation titled Management of Abnormal Uterine Bleeding due to Ovarian Dysfunction. PRC CPD . Read Mor Fetal macrosomia can be difficult to detect and diagnose during pregnancy. Signs and symptoms include: Large fundal height. During prenatal visits, your health care provider might measure your fundal height — the distance from the top of your uterus to your pubic bone. A larger than expected fundal height could be a sign of fetal macrosomia Pitocin is a hormone that is used to induce labor or strengthen uterine contractions, or to control bleeding after childbirth. Pitocin is also used to stimulate uterine contractions in a woman with an incomplete or threatened miscarriage. Pitocin may also be used for purposes not listed in this medication guide

Abnormal uterine bleeding prof jamiyah hassan(PDF) ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSEAbnormal uterine bleeding

Adenomyosis is defined as the presence of ectopic nests of endometrial glands and stroma throughout the myometrium, surrounded by reactive hypertrophic smooth muscle cells. [ 2] The pathophysiology of adenomyosis development remains poorly understood. Adenomyosis may be present either as diffuse, scattered individual glands, or focal. Yolk sac tumor (YST), also known as endodermal sinus tumor, is the second most common ovarian germ cell tumor .Of all the genital tumors, YSTs are relatively uncommon and they mostly developed in infants and adolescents (median age, 19 years) .Ovary is the most common site of involvement .However, it was occasional arising from midline extragonadal regions, such as sacrococcygeal region. Most fibroids are asymptomatic, but if large enough the uterine mass can cause symptoms including menorrhagia, pelvic pain and infertility. Endometrial carcinoma is the most common malignancy of the female genital tract, most often found during, or after, the menopause, and characterised by abnormal uterine bleeding Pain, which occurs primarily mid-cycle or after a minor delay in menstruation (at the time of the rupture of a corpus luteum cyst, for example).Pain is most often localized in the lower abdomen.Sometimes the pain may radiate to the rectum or to the lumbar or the umbilical region.; Bleeding into the abdominal cavity, which may be accompanied by Cervical weakness, also called cervical incompetence or cervical insufficiency, is a medical condition of pregnancy in which the cervix begins to dilate (widen) and efface (thin) before the pregnancy has reached term. Definitions of cervical weakness vary, but one that is frequently used is the inability of the uterine cervix to retain a pregnancy in the absence of the signs and symptoms of.