Obscure intrauterine lesion as cause of menorrhagia.

Abstract

It is interesting to note the paucity of cases of menorrhagia in which this symptom is actually due to a hormonal abnormality usually described as some kind of dysfunction of the pituitary-ovarian-endometrial axis. The following case report dramatically emphasizes the necessity of thorough and sometimes radical investigation before a patient is placed in the category of what is variously called functional menorrhagia, dysfunctional menorrhagia, metropathia hemorrhagica or menorrhagia due to abnormal endocrine function. S.S., a 24-year-old single, white female was first seen in January 1952 with the complaint that for three years there had been a gradual increase of bleeding at the time of menstruation. Menstruation had begun at 12, and a cycle of twenty-eight to thirty days had been fairly constant throughout her menstrual life. Until three years previously, the periods had been normal in amount, requiring about three to four pads per day, and lasting for about five or six days. There had been fairly seve...