Common Gynecologic Issues

Question 1

What is Amenorrhea and what is the difference between primary and secondary?

Answer 1

-Absence of menses during reproductive years
-Two types of primary amenorrhea
——Absence of menses by age 14 with absence of development of secondary sexual characteristics
——Absence of menses by age 16 with normal development of secondary sexual characteristics
-Secondary amenorrhea: the absence of regular menses for three cycles or irregular menses for 6 months in women who have previously menstruated regularly

Question 2

What is the therapeutic management of Amenorrhea? (Primary vs Secondary)

Answer 2

Therapeutic management
—Primary: involves the correction of any underlying disorders and estrogen replacement therapy
—Secondary: cyclic progesterone, treatment of hyperprolactinemia, eating disorder, obesity, hypothalamic failure, hypothyroidism

Question 3

Primary amenorrhea occurs in women who have previously menstruated regularly.
a. True
b. False

Answer 3

b. False
Primary amenorrhea is the absence of menses by age 14 with the absence of secondary sexual characteristics, or absence of menses by age 16 with normal development of secondary sex characteristics. Secondary amenorrhea is the absence of menses for three cycles or 6 months in women who have previously menstruated.

Question 4

What is Dysmenorrhea?

Answer 4

Painful menstruation

Question 5

Endometriosis is the most common cause of secondary dysmenorrhea.
a. True
b. False

Answer 5

True
Secondary amenorrhea is most commonly due to endometriosis. Primary amenorrhea is related to increased prostaglandin production.

Question 6

Dysmenorrhea signs and symptoms

Answer 6

Manifestations: pain, nausea, vomiting diarrhea, fatigue, fever, headache, dizziness; bloating, water retention, weight gain, muscle aches, food cravings, breast tenderness