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ABNORMAL UTERINE BLEEDING (2): Most cases of anovulatory bleeding are examples of estrogen withdrawal or estrogen breakthrough bleeding. Unopposed estrogen induces a progressive endometrial hyperplasia. In the absence of growth-limiting progesterone and natural periodic menstruation, the endometrium achieves an abnormal height without the necessary structural support. This fragile tissue will intermittently undergo spontaneous necrosis, and bleeding results. The classic presentation is one of pale, frightened teenager who has bled excessively for weeks or an older woman with prolonged bleeding who is concerned about the development of a possible neoplasm. (to be continued . /..) Dress Affordable garments in the formal occasions that colored with blue

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