This surge is forcing employers to reassess their benefit strategies, balancing the desire to offer comprehensive coverage with the need to manage budgets
Simeoni L, Rufini A, Moretti T, Forte P, Aiuti A, Fantoni A
Chronic myeloid leukemia, polycythemia vera, and hypereosinophilic syndrome are the classic associations, and the mechanism is thought to be overproduction of haptocorrin or transcobalamin by the expanded cell population
These might include: Pregnancy test : Essential first step for any woman of reproductive age with menstrual changes Blood tests : To assess hormone levels (FSH, LH, oestradiol, prolactin, thyroid function) and full blood count if bleeding is heavy STI screening : Particularly for unexplained intermenstrual or postcoital bleeding Pelvic ultrasound : If structural causes need to be excluded Review of medication : To ensure no drug interactions or other contributing factors Keep a menstrual diary noting cycle length, flow heaviness, and any associated symptoms
