Dysmenorrhea

Question 1

What mechanism of action explains why oral contraceptives reduce menstrual pain?

Answer 1

The progestin in OCPs causes endometrial atrophy and because prostaglandins are produced in the endometrium, there would be less produced.

Question 2

What is USPSTF recommendation for chlamydia and gonorrhea screening?

Answer 2

chlamydia and gonorrhea screening for all sexually active patients age 25 and younger

Question 3

What is seen in pathology of fibroids?

Answer 3

well-circumscribed, non-encapsulated myometrium

Question 4

What is seen in pathology of endometrial polyps?

Answer 4

localized hyperplastic overgrowth of endometrial glands/stroma

Question 5

what is seen in pathology of endometrial hyperplasia?

Answer 5

crowding of endometrial glands with an increase in gland to stroma ratio

Question 6

what is seen in pathology of endometriosis?

Answer 6

endometrial glands/stroma and hemosiderin-laden macrophages outside of the uterine cavity

Question 7

What are first line therapy for painful menses?

Answer 7

NSAIDs