Dysfunctional uterine bleeding 1A

Question 1

how is the diagnosis of dysfunctional bleeding made?

Answer 1

By exclusion; if there is no pathologic cause of menorrhagia, intermentrual bleeding or postmenopausal bleeding

Question 2

what happens in a secondary cause due to hypothalamic-pituitary-gonadal axis dysfunction

Answer 2

there is continuous oestrogen secretion which stimulates the overgrowth of the endometrium and sheds off as bleeding and at irregular times and varying amounts

Question 3

when does dysfunctional uterine bleeding typically occur

Answer 3

near menarche and menopause

Question 4

what is diagnosis of dysfunctional uterine bleeding. based on

Answer 4

it is based on history and physical examination to rule out other causes

Question 5

what is the gold standard investigation in dysfunctional uterine bleeding

Answer 5

Endometrial sampling (which determine if ovulation is occurring)

Question 6

what is the treatment

Answer 6

oral contraceptive (in excessive bleeding use conjugate oestrogen)

Question 7

what is the indication for NSAIDs use

Answer 7

it can be used in ovulatory dysfunctional uterine bleeding as it can decrease menstrual blood loss

Question 8

what is the surgical intervention for dysfunctional uterine bleeding

Answer 8

Dilatation and curettage or hysterectomy (in refractory cases)