Dysfunctional Uterine Bleeding

Question 1

Define:
Hypermenorrhea
Menorrhagia
Metorrhagia
Menometrorrhagia
Oligomenorrhea
Polymenorrhea
Hypomennorhea

Answer 1

Hypermenorrhea - blood loss excessive
Menorrhagia - exessive duration and flow
Metorrhagia - interval irregular. excessive duration and flow
Menometrorrhagia - interval irregular. excessive duration and flow. intermenstrual bleeding
Oligomenorrhea - interval >35 days
Polymenorrhea - interval <21 days
Hypomennorhea - blood loss decreased

Question 2

Postmenopausal bleeding

Answer 2

Endometrial biopsy and ultrasound

Question 3

Treatment for Dysfunctional Uterine Bleeding

Answer 3

Oral contraceptives, Cyclical progesterone (21 day cycle), D&C, Endometrial Ablation, Hysterectomy

Question 4

Differential for Dysfunctional Uterine Bleeding

Answer 4

Pregnancy! PCOS, Uterine Leiomyoma, Fibroids, Hyperprolactinemia, Endometrial Hyperplasia, Premature Ovarian Failure, Hypothyroidism