Women's Health in Focus - Part 2: Abnormal Uterine Bleeding: More than "Just" a Period
Dr. Sanja Kostov, Dr. Amanda Kim
January 21, 2026
Women & Reproductive Health (Obstetrics & Gynecology), Primary Care / Family Medicine
Abnormal uterine bleeding (AUB) is a common concern in primary care and gynecology that can significantly affect quality of life and may signal serious underlying conditions, including endometrial cancer. Rising rates of endometrial cancer among younger women have led the Society of Obstetricians and Gynaecologists of Canada (SOGC) to update guidelines recommending endometrial biopsy for younger patients with AUB. However, many clinicians remain unaware of this change, creating a potential gap in early detection and timely care.
To address this need, the PLP, in partnership with the L3 and Drs. Amanda Kim and Sanja Kostov, developed a webinar to support family physicians and primary care providers in the assessment and management of AUB. Delivered on January 21, 2026, the session focused on the timely evaluation of AUB, including ruling out endometrial cancer, identifying underlying pelvic pathology, and initiating appropriate investigations and treatment. This learning event reinforced recognition of heavy menstrual bleeding as potentially pathologic, supported risk stratification for endometrial cancer, clarified the distinction between cervical and endometrial cancer screening, and outlined appropriate initial investigations, including when to pursue endometrial sampling. The session also featured the Provincial Adult Abnormal Uterine Bleeding Primary Care Clinical Pathway, which was developed with support from PLP Medical Director, Dr. Katrina Nicholson.