Template:VB DDX nonpregnant

Nonpregnant Vaginal Bleeding

Systemic Causes

• Secondary anovulation
• Coagulopathy
  • Von Willebrand, ITP
• Hypothyroidism
• Hormone replacement therapy
• Cirrhosis
• Group A strep vaginitis (prepubertal girls)

Reproductive Tract Causes

• Fibroids
• Adenomyosis
• Endometriosis
• Neoplasia
• Infection (vaginitis, PID)
• Vaginal Trauma
• Foreign Body
• IUD
• Atrophic endometrium
• Dysfunctional uterine bleeding