A 48-year-old Caucasian female is in the clinic concerned about prolonged menstrual bleeding for three weeks now. Her prior menstrual periods have been irregular for the past eight months, lasting no more than three days each. There have been one to two months when she had no menstrual cycles at all. She reports occasional hot flushes and mood swings.
Questions
Differential diagnosis for the patient in the case study.
Provide a minimum of three possible diagnoses and list them from highest priority to lowest priority.
Explain which is the most likely diagnosis for the patient and why.