96 Abnormal Uterine Bleeding Flashcards
Normal menstrual cycle durationAnd average blood loss
Average duration of 4.5 to 8 days blood loss is less than 30 mL greater than early 80 mL is considered abnormal
How come is von Willebrand’s disease An abnormal uterine bleeding
Up to 20% of women with heavy bleeding have an underlying coagulation disorder
What is the most common cause of abnormal vaginal bleeding during the reproductive years
Pregnancy related complications
What is a common symptom of the cervical polyp’s
Intermenstrual bleeding
The most common cause of abnormal Uterine bleeding in adolescence
Anovulatory
Treatment of massive or heavy vaginal bleeding
General things such as fluid and blood resuscitation, conjugated equine estrogen, tranexamic acid
Treatment for hemodynamically stable vaginal bleeding
Combined OCPs, progesterone, or end NSAIDS
What is the most common cause of intermenstrual bleeding
Oral contraceptive pills
How many women receiving continuous oral contraceptive pill therapy will experience abnormal uterine bleeding
40% of women will bleed in the initial 4 to 6 months
What is the most important thing to do with vaginal bleeding
Obtain a pregnancy test
Dose of conjugated estrogen for massive vaginal bleeding
25 mg IV every 4 to 6 hours until the bleeding stops
What is the most effective way to decrease heavy menstrual bleeding in the outpatient setting
Levonorgestrel intrauterine device
How do you NSAIDS stop vaginal bleeding?
Prostaglandin inhibitor’s such as NSAIDS alter the ratio of prostaglandins to favor the prostaglandin F2a instead of E2. Prostaglandin F2a causes vasoconstriction whole e2 to cause vasodilation
Why are GnRH agonist not commonly use for abnormal uterine bleeding
Because they induce amenorrhea but also essentially Cozz menopause
What is the difference in management of abnormal uterine bleeding from a coagulation disorder
You cannot give NSAIDs and you have to give desmopressin if standard treatment fails
