General gynae Flashcards
STUMP management
Refer gynae onc
confirm pathology/MDM review
high survival rate 92-100%
Risk of recurrence and therefore need surveillance
Advise hysterectomy once family is complete
Management OHSS
Monitor daily analgesia - Avoid NSAIDs antiemetic Strict fluid monitoring IDC fluid replacement IV colloids paracentesis if severe pain, SOB, oliguria LMWH bloods- CBC/UEs, LFTs, Coag, hcg, serum osmolality USS ?ABG, D-dimer, ECG, CXR ?CTPA
Hx points on OHSS
onset of symptoms relative to trigger medication used for trigger Number of eggs collected was there an ET PCOS
MRKH management
MDT input
acknowledge huge surprise and can be devestating
Renal USS, baseline renal function
Will never menstruate but normal ovaries
IVF w own oocyte - surrogacy OR adoption
Short vagina - difficulty with sex - vaginal dilators or surgical formation of a neo vagina
Swyer’s syndrome
MDT approach
Psychosocial support
Pubertal induction - commence on oestrogen and progesterone
Bone protection - DEXA scan, Vit D, calcium, longterm HRT, diet, exercise
Gonadectomy due to risk of malignancy
IVF with donor oocyte, can carry a pregnancy
Management of PMDD
Menstruation suppression SSRIs Spironalactone CBT Exercise/diet B6 calcium
Core PMD dx
cyclical symptom recurrence
symptom resolution after period
not symptom exacerbation of underlying disorder
symptoms impact ADLs
PCOS explanation
PCOS is a condition that can affect your periods, fertility, hormones and aspects of your appearance as well as have implications for your long-term health
PID explanation
you have an internal infection, which has usually passed into the womb (uterus) and its surrounding organs from the vagina or neck of the womb (cervix). It may also affect the areas of the lower tummy (pelvis) around these organs. It is important to treat it with antibiotics to prevent complications. In most cases, the infection is passed on through sex
