#39B - Abnormal Uterine Bleeding (Part II)

#39B - Abnormal Uterine Bleeding (Part II)

Author: 1PM July 26, 2026 Duration: 43:50

First Principles of Abnormal Uterine Bleeding (AUB)

In this episode, we're going to break it all down from first principles. We'll walk through how to take a focused history without getting lost in the menstrual timeline, what investigations actually matter (and which ones don't), and how management changes depending on what's causing the bleeding.

As always, this isn't about memorising endless lists. It's about understanding the why behind the questions you ask and the tests you order, so the next time you're on ward rounds or in an OSCE, you'll know exactly where to start.

So grab your coffee, your notebook, or your favourite study snack, and let's dive into abnormal uterine bleeding—because periods might be monthly, but OSCEs can ask about them any day of the year!


Disclaimer: This episode was recorded on 8 May 2026. At the time of recording, the condition now known as Polyendocrine Metabolic Ovarian Syndrome (PMOS) was referred to as Polycystic Ovary Syndrome (PCOS). Following the official nomenclature change announced on 12 May 2026, the term PMOS is now preferred. References to "PCOS" in this episode reflect the terminology that was in use at the time of recording.


Check out the online note here: ⁠https://1pm.notion.site/39-Abnormal-Uterine-Bleeding-37def1d0b55f803e8439dbd37275bf2c⁠


=== Other Links ===

1PM Website

Check out our new website⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast episodes.

Instagram 

⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/firstprinciplesofmedicine/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠


Recorded 8 May 2026.

Hosts: Angela Goh, Julia Jolly, Jasmyne Le

Produced by Angela Goh.


If you have any ideas or feedback, comment on this Notion document, or shoot us an email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠hello@1pm.wiki⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

© First Principles of Medicine 2026



There's a particular kind of pressure in medicine, where complex problems demand clear thinking under duress. First Principles of Medicine is built for those moments. Instead of offering memorized lists or surface-level reviews, this podcast from 1PM digs down to the foundational concepts that govern how the human body works and how we approach its care. Each episode takes a seemingly intricate topic in health, fitness, or clinical medicine and deconstructs it into its most basic, undeniable components. What you'll hear are conversations and analyses that rebuild understanding from the ground up. The aim is to equip you with a flexible framework, a way of thinking that holds up when straightforward answers aren't available. By consistently returning to these core tenets, the podcast fosters a deeper, more intuitive grasp of medical science. Whether you're a student, a practitioner, or simply someone fascinated by how we heal and function, tuning in provides a mental toolkit. It's about cultivating the confidence to reason through uncertainty, using first principles as a reliable guide. This isn't just another medical show; it's an ongoing exercise in intellectual clarity for practical application.
Author: Language: English Episodes: 50

First Principles of Medicine
Podcast Episodes
#25B - Respiratory Failure: OSCE-style summary [not-audio_url] [/not-audio_url]

Duration: 5:48
The First Principles of Respiratory Failure to ace your Crit Care rotation: Dr. Anna Surla guides us through everything we NEED to know about oxygen and carbon dioxide, the causes of respiratory failure, and why we shoul…
#25A - Respiratory Failure: Choking Chickens [not-audio_url] [/not-audio_url]

Duration: 35:33
The First Principles of Respiratory Failure to ace your Crit Care rotation: Dr. Anna Surla guides us through everything we NEED to know about oxygen and carbon dioxide, the causes of respiratory failure, and why we shoul…
#24B - Diabetic Eye Disease...in 3 minutes! [not-audio_url] [/not-audio_url]

Duration: 3:18
​Get ready for a spectacle of sight (pun intended)! Our new gang of three is hitting the podcast studio for the first time in 2024, and they're bringing some serious ophthalmology fun to the studio! Join the trio as they…
#24A - Diabetic Eye Disease: The Last Principles [not-audio_url] [/not-audio_url]

Duration: 45:08
Get ready for a spectacle of sight (pun intended)! Our new gang of three is hitting the podcast studio for the first time in 2024, and they're bringing some serious ophthalmology fun to the studio! Join the trio as they…
#23 - Orthopaedic Triage: life over limb [not-audio_url] [/not-audio_url]

Duration: 29:50
In one of 1PM's most requested episodes, tune in to hear returning presenter Nic Ellison go through Orthopaedic Triage. Join Navi, Jay and Jason, as they work out what to fix first in the world of broken bones. === Other…
#22 - Exam Mnemonics with 1PM's genius brigade [not-audio_url] [/not-audio_url]

Duration: 37:34
Hold on to your socks everyone, because The First Principles of Medicine has assembled the genius brigade for this episode. Listen in as JT, Jason, Michael, Josh, and Broska go through some of their favourite mnemonics t…
#21 - Distal Radius Fractures: first, make it worse [not-audio_url] [/not-audio_url]

Duration: 29:47
The First Principles Distal Radius Fractures that can get you through your orthopaedics rotations, with special guests Nic Ellison & Eemali McDonald: How do you diagnose them? Who gets them? How does making it worse make…
#20 - First Principles of the OSCE: OSCE-ing the right questions [not-audio_url] [/not-audio_url]

Duration: 38:33
The First Principles of the OSCE: Simple tips to help you get through it! === Other Links === Check out our new website ⁠⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠⁠Notion document⁠⁠⁠⁠⁠⁠⁠, free Anki flashcards, and podcast epis…
#19B - Prescribing Antihypertensives: OSCE-style summary [not-audio_url] [/not-audio_url]

Duration: 6:36
The First Principles of Prescribing Antihypertensives that can get you through your GP rotations: First Principles summary version. === Other Links === Check out our new website ⁠⁠⁠⁠⁠⁠1pm.wiki⁠⁠⁠⁠⁠⁠ for the ⁠⁠⁠⁠⁠⁠Notion…