Common Menstrual Disorders

Question 1

Meno

Answer 1

menstrual related

Question 2

Metro

Answer 2

time

Question 3

Oligo

Answer 3

few

Question 4

a

Answer 4

without/none/lack of

Question 5

Rhagia

Answer 5

excess/abnormal

Question 6

Dys

Answer 6

pain/not

Question 7

Rhea

Answer 7

flow

Question 8

Amenorrhea

Answer 8

absence of menses

Question 9

Primary amenorrhea 1

Answer 9

1. Absence of menses by age 15 with absence of growth/development of secondary sexual characteristics
2. Absence of menses by age 16 with normal development of secondary sexual characteristics

Question 10

Causes of primary amenorrhea include:

Answer 10

extreme weight gain/loss; excessive exercise; stress from major life event; eating disorders; hypothyroidism;

Question 11

Thera management for primary amenorrhea:

Answer 11

correction of underlying disorders and estrogen replacement therapy (stimulates development of secondary sexual characteristics if absent)

Question 12

Secondary amenorrhea:

Answer 12

absence of regular menses for 3 cycles or irregular menses for 6 months in women who have previously menstruated regularly

Question 13

Dysmenorrhea

Answer 13

painful menstruation

Question 14

pain that occurs due to menstruation itself

Answer 14

primary dysmenorrhea

Question 15

painful menstruation due to pelvic pathology

Answer 15

secondary dysmenorrhea

Question 16

implantation of tissue similar to endometrium in other parts of pelvis and throughout body

Answer 16

endometriosis

Question 17

PALM-COEIN

Answer 17

-PALM (structural): Polyp, Adenomyosis, Leiomyosis, Malignancy
-COEIN(other): Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not yet classified

Question 18

Vaginal diaphragm (barrier)

Answer 18

-may be inserted 2 hrs before intercourse and must be left in place for at least 6 hrs after
-available only through prescription
-fitted (may need to be refitted if weight gain/loss of 10+lbs
-must be replaced every 1-2 yrs

Question 19

Contraceptive Sponge (barrier)

Answer 19

-made of polyurethane, released spermicide
-can be used for more than 1 round
-does not need to be fitted/no prescription
-less effective than other methods
-no protection against STIs
-to use, wet with water, squeeze till wet and foamy, insert
-can be inserted 24 hrs before intercourse and left in place for at least 6 hrs after intercourse; provides protection for up to 12 hrs
-should not be left in for more than 30 hrs to avoid toxic shock syndrome

Question 20

three primary tests to assess infertility

Answer 20

-semen analysis
-ovulation monitoring
-tubal patency assessment

Question 21

inability to conceive with no prior pregnancies

Answer 21

primary infertility

Question 22

inability to conceive after previous pregnancy

Answer 22

secondary infertility