Abnormal Menstration Flashcards
Menorrhagia Vs Metrorrhagia
Menorrhagia = Heavy or prolonged bleeding Metrorrhagia = Intermenstrual bleeding, spotting, or breakthrough bleeding
Menstrual interval > 35 days
Oligomenorrhea
Crampy or spasmodic pain in lower abdomen that occurs only in ovulatory cycles without the presence infectious process or injury
Primary Dysmenorrhea
8 non pelvic sx of Dysmenorrhea
HA - N/V - bloating -back ache - diarrhea - syncope - breast tenderness
Next best step for pt with primary dysmenorrhea that is refractory to tx w/ NSAIDS
Pelvic exam
5 nonphamacologic tx for Primary Dysmenorrhea
Heat - Diet - Behavior modification - TENS - Exercise/yoga
16 yo girl presents bc she is missing approx. 2 days of school each month for cramping, and severe head aches that coincide with her menses. Primary Tx? Next best step if breakthrough sx or refractory?
Ibuprofen / Naproxen Sulfate (NSAIDS)
OCP - thins endometrium = less prostaglandin production
6 Causes of Secondary Dysmenorrhea
Endometriosis - Adenomyosis - IUD - Uterine Leiomyomata - Ovarian Cyst - Chronic pelvic disease
Cyclic dysmenorrhea that lasts longer and becomes more severe over time w/ pelvic pain that is worse w/ menses and ovulation
Endometriosis
PE findings for Endometriosis
Pelvic tenderness w/ uterine movement
Palpable nadules on exam
Fixed, tender, enlarged adnexa
Imaging, Dx study, and tx for Endometriosis?
US - Laparoscopy - Pain tx + surgery + Post op hormone supression
Treatment goal for Endometriosis?
Manage pelvic pain + prevent infertility
What is the most common tumor of the female pelvis and what type of cells are is it composed of?
Uterine Leiomyomata - smooth muscle cells of the myometrium
7 factors that increase risk for Leiomyomata
Early menarche - Meat consumption - family hx - Beer - hx of uterine infxn - Vit D def - Obesity
8 factors that decrease risk for Leiomyomata
> 1 pregnancy, OCP, Progestin only injectable contraception, smoking, green veg + fruit, Vit A, Menopause, Exercise