Vaginal bleeding (main)

Background

• Undifferentiated vaginal bleeding is normally approached by rapidly determining pregnancy status and, if pregnant, estimated gestation age
• Subsequent workup is then performed based on these factors

Clinical Features

• Vaginal bleeding

Differential Diagnosis

Vaginal bleeding (undifferentiated)

• Non-pregnant vaginal bleeding
  • Prepubertal vaginal bleeding
• Pregnant
  • Vaginal bleeding in pregnancy (less than 20wks)
  • Vaginal bleeding in pregnancy (greater than 20wks)
  • Postpartum hemorrhage

Evaluation

Workup

• Pregnancy test (urine or serum)
• Hemoglobin (CBC or POC)
• Consider type & screen

Diagnosis

See individual pages:

• Vaginal Bleeding (Non-Pregnant)
• Vaginal Bleeding Pregnant (less than 20wks)
• Vaginal Bleeding Pregnant (greater than 20wks)
• Post-Partum Hemorrhage
• Vaginal bleeding (peds)

See Also

• Vaginal bleeding (peds)
• Non-pregnant vaginal bleeding
• Prepubertal vaginal bleeding