Abnormlities Of Menstruation

Question 1

When is regularity of the menstrual cycle at its best?

Answer 1

Age 20 - 40 years

Question 2

Approximately how much blood is lost per cycle?

Answer 2

37 - 43 ml

Question 3

What percentage of women lose > 80 ml blood per cycle?

Answer 3

9 - 14 %

Question 4

What is the clinical term for heavy periods?

Answer 4

Menorrhagia

Question 5

Give some causes of menorrhagia

Answer 5

Abnormal clotting
Fibroids
Cancer

Question 6

What are fibroids?

Answer 6

Benign growths found in/on uterus
Can occur in several locations
Often present with just very heavy periods
Sometimes can mimic a pregnancy or tumour because so large

Question 7

What is dysfunctional uterine bleeding?

Answer 7

Menorrhagia but no recognisable pelvic pathology, pregnancy or bleeding disorder has been found
Diagnosis of exclusion
60% of pts with menorrhagia diagnosed with this

Question 8

How might we view an endometrial cancer?

Answer 8

USS first
Hysteroscopic view
Pelvic MRI

Question 9

What is endometrial ablation?

Answer 9

Using a laser to burn lining of endometrium
Thin layer and reduce the amount of bleeding
Some people need repeats of treatment

Question 10

What is the impact of menstrual disorders?

Answer 10

Tiredness, anaemia
Depression, irritability, mood swings, anxiety
Impact on ability to socialise, play sports etc