Obstetrician-gynecologists are frequently consulted during an episode of abnormal uterine bleeding (AUB) to stop bleeding acutely and to prevent further bleeding during cancer treatment. Women with hematologic malignancies, such as acute myelogenous leukemia (AML), are the most frequently affected and new onset heavy menstrual bleeding may be the chief complaint leading to their diagnosis. Cancer and cancer treatments including chemotherapy, total body irradiation, and conditioning regimens for bone marrow or stem cell transplant can induce thrombocytopenia and lead to AUB. Main treatment options include oral contraceptive pills (OCPs), gonadotropin-releasing hormone (GnRH) agonists, and progestin-only hormone therapy. Algorithms are available to guide treatment and medical management is first line, especially in patients who have not completed childbearing. The risk of venous thromboembolism and need for contraception are special considerations when choosing a treatment for AUB in this patient population.

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy

Provides an overview of the categories of cancer treatment modalities consisting of chemotherapy, stem cell transplant, hormone, immunotherapy, radiation, targeted cell therapy