Dysfunctional Uterine Bleeding Lecture Powerpoint

Question 1

90% of dysfunctional uterine bleeding is caused by…

Answer 1

…anovulation

Question 2

Menorrhagia

Answer 2

Heavy menstrual flow

Question 3

Oligomenorrhea

Answer 3

Menstruation with intervals than 35 days

Question 4

Polymenorrhea

Answer 4

Menstruation with intervals lessthan 21 days

Question 5

Menometrorrhagia

Answer 5

Menstrual bleeding occuring at abnormal intervals and with excessive flow and duration

Question 6

Withdrawal bleeding

Answer 6

Normal bleeding seen often after stopping hormonal therapy

Question 7

Von willebrand factors

Answer 7

Hemotologic factors that can cause abnormal uterine bleeding due to an inability to produce a key clotting protein

Question 8

3 most common disorders causing dysfunctional uterine bleeding in reproductive age women

Answer 8

1) pregnancy
2) iatrogenic (drug induced)
3) systemic disorders

Question 9

Imaging for dysfunctional uterine bleeding

Answer 9

Hysteroscopy with endometrial biopsy

Question 10

Common treatments for ovulatory bleeding (menorrhagia)

Answer 10

NSAIDS and contraceptive pills

Question 11

Primary amenorrhea

Answer 11

Failure to reach menarche by age 15 or within 5 years after breast development occuring before age 10

Question 12

Secondary amenorrhea

Answer 12

Cessation of previously regular menses for 3 months or longer, or cessation of irregular menses for 6 months or longer, or fewer than 9 menstrual cycles per year

Question 13

The most common cause of 2ndary amenorrhea

Answer 13

pregnancy

Question 14

Areas of potential etiology of amenorrhea

Answer 14

• hypothalamic pituitary ovarian axis
• funcitonal uterus
• vaginal opening

Question 15

Kallman syndrome

Answer 15

Due to congenital GnRH deficiency resulting in impaired sense of smell, cryptorchidism, micropenis, cleft palate, ec.

Question 16

Number 1 cause of hypothalamic disorder

Answer 16

Systemic stressors such as weight loss, exercise, or severe emotional distress

Question 17

Pure ogonadal dysgenesis

Answer 17

A lack of development of ovaries despite being genetically 46 xx

Question 18

Empty sella syndrome

Answer 18

Occurs when CSF leaks into sella turcica putting pressure on pituitary gland and squishing it like a pancake

Question 19

Sheehan syndrome

Answer 19

Post partum pituitary gland necrosis of the mother seeing a loss of all pituitary hormones

Question 20

Androgen insensitivity syndrome presentation

Answer 20

Primary amenorrhea in a patient with ambiguous genitalia, genetically male but resistant to androgens

Question 21

Asherman syndrome

Answer 21

Inflammation to the uterus causing scarring resulting in 2ndary amenorrhea