Dysfunctional Uterine Bleeding (DUB) Flashcards
1
Q
sub-divided into
A
- anovulatory
2. ovulatory
2
Q
associations with anovulatory DUB
A
extremes of reproductive life
irregular cycle
obese
3
Q
associations with ovulatory DUB
A
35-45
regular heavy periods
inadequate progesterone
4
Q
diagnosis of DUB
A
diagnosis of exclusion FBC, TSH, coagulation, U&Es, LFTs TVUS endometrial sampling (pipelle biopsies, hysteroscopic directed, dilatation and curettage smear
5
Q
management of DUB
A
drugs
mirena IUS
endometrial resection/ ablation
hysterectomy
6
Q
pharmacological options in DUB
A
progestogens (progesterone coil- mirena) OCP danazol GnRH analogues to induce menopause NSAIDs anti-fibrinolytics e.g. tranexamic acid capillary wall stabilisers