Aub & Dysmenorrhea & PMS

Question 1

Talk about dysmenorrhea
Def
Class

Answer 1

• pain and cramping during menstruation varies , interfere with normal activites
• 1st dys ( spasmodic)
• 2ry congestive dys
• endometriosis

Question 2

Talk about 1st

Answer 2

(6)

1- in ovulatory cycles
2- due to shedding of secretory endo , prosta is released ( thus pain ) to vc the ut ~> ashan mandkholsh fe shock

3- type of person : less than 20 y
-spasms starts at 1st day , ends at the end of it or second
4- improves after preg or delivery
5- signs : NORMAL PERSON
6- nsaids , continuous ocps

Question 3

Talk about 2ry congestive dysmenorrhea

Answer 3

(6)

1- in ovulatory / anovulatory

2- due to existing cause in ut ~> pelvic congestion as pelvic circulation supplies it or immune

3- type of patient : middle aged
- suprapubic pain strats few days , –with onset of menstruation , refers to back that is usually occurs after several painless cycles

4- signs : identifble cause
5- us to confirm
6- ttt of cause

Question 4

Pms

Answer 4

(6)

1- group of physical and or emotional changes happening in luteal phase

2- changes : irritability, mood changes, breast tenderness , bloting

3-
•due to interaction bet serotonin neurotransmitter and ovarian steroids

• normal ovarian steroid with abnormal response
• genaticlly and psychologically predisposed

4- inv : monthly diary
5- the highest incidence in late 20 to early 30

6- ttt
• change life style
• ssri
• vitamin d , ca , mg
• ocps
• symptomatic

Question 5

Talk about endometriosis

Answer 5

• starts few days before menses , +++ after onset of menses thus cresendo decresendo named