It is important to have a systematic way of approaching a case with per vaginal (PV) bleeding in the exam.
Premenopausal
- embedded IUCD
- lost IUCD
- submucosal fibroid
Pregnancy-related
- perigestational hemorrhage
- intrauterine fetal demise
-
ectopic pregnancy
- ruptured ectopic
- cervical ectopic
- interstitial ectopic
- cesarean scar ectopic
- anembryonic pregnancy
- gestational trophoblastic disease
- placenta previa
- placental abruption
- retained products of conception (RPOC)