Abnormalities Of The Menstrual Cycle Flashcards
What is the previous term for heavy menstrual bleeding? What is its definition?
Menorrhagia;
Heavy ( >80ml/ cycle) or prolonged ( >7 d) menstrual flow occurring at regular intervals.
What is the previous term for intermentstrual bleeding? What is its definition?
Metrorrhagia;
Any bleeding between normal menses, usually lighter than normal menstrual bleeding.
What is the first line diagnostic tool for abnormal uterine bleeding?
Ultrasound
This refers to the presence of endometrial glands and stroma in the uterine myometrium?
Adenomyosis
Which of the possible causes of abnormal uterine bleeding are structural? (4)
PALM
Polyp
Adenomyosis
Leiomyoma
Malignancy & Hyperplasia
Which of the possible causes of abnormal uterine bleeding are non-structural? (5)
COEIN
Coagulopathy
Ovulatory
Endometrial
Iatrogenic
Not yet classified
Regularly timed menses but light flow ( Heavy >80 ml / cycle) or prolonged ( >7 D) menstrual flow occurring at regular intervals.
Hypermenorrhea or Menorrhagia
Hallmark of endometriosis?
Cyclic pelvic pain peaking 1 to 2 days before the onset of menses and subsiding in the onset of menses or shortly after.
Treatment for simple endometrial hyperplasia?
Progestins or OCP
( OCP 6 cycles or MPA10-20mg OD x 14 Days)
Excessive or prolonged vaginal bleeding at irregular intervals?
Menometrorrhagia
Management of Hemorrhagic shock?
Aggressive replacement of Intravascular Volume with Rapid infusion of Colloids.
Anti-fibrinolytic drug given to women with heavy vaginal bleeding?
Tranexamic acid
Group of women where hypomenorrhea is commonly observed?
Women athletes
Anorexic patients
Which hormone can provide temporary relief of symptoms of adenomyosis?
Progesterone
