Disorder of Menstruation & the Uterus

Question 1

Secondary Amenorrhea

Answer 1

1st - r/o pregnancy

Ovarian - PCOS, primary ovarian insufficiency

Hypothalamic - function w/ decreased GnRH

Pituitary

Uterine - Asherman’s syndrome, TB, D&C destroyed endometrium

Question 2

Secondary Dysmenorrhea Causes

Answer 2

Symptoms a result of a specific problem

Endometriosis

Adenomyosis

Fibroids

PID

Obstruction

Question 3

PALM-COEIN

Answer 3

Sources of abnormal uterine bleeding (AUB)

Polyp

Adenomyosis

Leiomyoma

Malignancy

Coagulation

Ovulatory dysfunction

Endometrial

Iatrogenic

Not yet classified

Question 4

Polymenorrhea

Menorrhagia

Metrorrhagia

Oligomenorrhea

Answer 4

Polymenorrhea: cycles less than 24 hours

Menorrhagia: heavy menstrual bleeding

Metrorrhagia: bleeding between periods

Oligomenorrhea: Cycles >35 days

Question 5

PMDD and diagnosis

Answer 5

Premenstrual Dysphoric Disorder

At least 1 mood symptom, 5 total sx from DSM-5 that occur in the preceding year cycle w/ menses

PMDD is more disabling w/ mood symptoms