According to Kaunitz (2014), perimenopause is the period a woman undergoes just prior to cessation of menstruation. This phase is also called as menopausal transition. The most common cause of abnormal uterine bleeding in perimenopausal women is uterine polyps, endometrial hyperplasia, cervical intraepithelial neoplasia (CIN), pelvic inflammatory disease, systemic illness or ovarian malignancy. These differentials are very overlapping therefore, meticulous examination and sound knowledge is very fundamental.
Singh et al. (2013) suggested that history and physical examination are very pivotal in ascertaining the cause of abnormal uterine bleeding because it assists in reaching to a diagnosis and then ...