• Dr. Emma Galloway MD CCFP

Can you name these AUB treatments? (Plus EXAM TIP: Who you should be on exam day)


  • For a patient with abnormal uterine bleeding (AUB):

- List THREE classes of hormonal medications you would recommend

- List TWO classes of NONhormonal medications you would recommend

- List THREE surgeries used to treat AUB

CFP articles are great exam study resources!

For example -- check out this article from 2015 on Abnormal Uterine Bleeding.

Try reading the case stem and covering up the investigations paragraph -- ask yourself what investigations would you order for this patient. Then have a look at the recommended investigations. Did you get them all? Did you request an endometrial biopsy?

I can't emphasize enough the importance of the endometrial biopsy in perimenopause. It is an easy test -- if you can put in an IUD, you can do an endometrial biopsy!! It is a necessary test -- for perimenopausal patients with AUB, you should almost always do one to rule out endometrial cancer! It is a helpful test -- if it is negative, you can manage the patient symptomatically and save them a gynecologic referral!

How do you manage the patient symptomatically? Stop the bleeding! Your options are hormones (combined hormonal contraceptives, progestins, and the LNG-IUS), nonhormones (NSAIDs or Antifibrinolytic a.k.a. transexamic acid) and surgery (ablation, myomectomy and hysterectomy -- now rarely necessary due to the efficacy of the LNG-IUS!)


Remember, on an exam, avoid saying "I'm a resident" or "I''ll discuss this with my supervisor." Instead, you are a confident and skilled family physician who is proficient in procedures within our scope of practice -- regardless of whether you feel confident to do them in "real life." Confidently say or write that you would perform an endometrial biopsy -- and when you are in practice, I encourage you to give it a try! It's not as daunting as you think.

Highly Rated - Thousands of Attendees
  • Facebook
  • Twitter
  • Instagram

© The Review Course in Family Medicine Inc. | About Us | Privacy Policy

The only Canada-Wide CCFP exam course - created by two Family Doctors who wished this existed when we were residents, and are on a mission to help CCFP exam candidates. Disclosures: The Review Course founders have no conflicting commercial interests. As is the case with any private events hosted on a university campus or hospital, this event is not affiliated with nor endorsed by the host venues. Our materials are peer-reviewed and prepared by Canadian physicians; we do not guarantee that our preparation materials are representative of any Canadian examination and we do not provide questions from any other examination nor are they intended as medical advice. The College of Family Physicians of Canada does not affiliate with nor endorse any exam preparation course.