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About: Decidua menstrualis     Goto   Sponge   NotDistinct   Permalink

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Decidua menstrualis is the diffuse hyperplasia of the decidua of the uterus in the absence of a demonstrable pregnancy. In anatomical terms, it is called diffuse polypoid decidual endometritis. The probable cause of decidua menstrualis is pathologically prolonged progestin stimulation in the absence of a preceding pregnancy. Clinically, the patient presents with prolonged, profused white discharge mixed with blood. It is not clear whether this discharge occurs due to nutritional inadequacy or the involution of corpus luteum.