bleeding in non pregnant woman Flashcards
anovulation
in premenopausal non=-pregnant women, anovulation is common cause of abnormal uterine bleeding
characteristic of anovulatory bleeding
noncyclical bleeding of variable flow and duration
molimina are usually absent
moliminal symptoms
increase in thin cervical mucous secretions at mid-cycle menstrual cramps breast tenderness fluid retention appetite/mood chnges
why can anovulatory cycles occur in adolescents
most common cause AUB in adolescent girls due to slowly maturing hypothalamic-pituitary axis during first 2/3 postmenarchal years
anovulatory cycles and menopausal transition
ovulatory cycles and normal cyclic production oestrogen and progesterone become disturbed
ovulation occurs intermittently, intersperes with anovulatory cycles of vrying lenght
PCOS and anovulation
chronic anovulation is often attributable to an endogenous disoder like PCOS
PCOS characteristics
oligomenorrhowa
hyperandrogenism - hirstuism, acne
obesity and inuslin resistance common e