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Harrison's Principles of Internal Medicine, 18e | Part 2. Cardinal Manifestations and Presentation of Diseases > Section 8. Alterations in Sexual Function and Reproduction > | Chapter 50. Menstrual Disorders and Pelvic Pain Sections: Menstrual Disorders and Pelvic Pain: Introduction, Menstrual Disorders, Pelvic Pain, Further Readings. Topics Discussed: menstruation-related disorders; pelvic pain. Excerpt:"Menstrual dysfunction can signal an underlying abnormality that may have long-term health consequences. Although frequent or prolonged bleeding usually prompts a woman to seek medical attention, infrequent or absent bleeding may seem less troubling and the patient may not bring it to the attention of the physician. Thus, a focused menstrual history is a critical part of every encounter with a female patient. Pelvic pain is a common complaint that may relate to an abnormality of the reproductive organs but also may be of gastrointestinal, urinary tract, or musculoskeletal origin. Depending on its cause, pelvic pain may require urgent surgical attention...."
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