General Woman's Health

Question 1

How many days is the average female cycle?

average and range

Answer 1

Average 28 days

21-35 days

Question 2

What is the first day of the cycle?

Answer 2

first day of bleeding

Question 3

At what point does ovulation occur?

Answer 3

14 days before the beginning of cycle

Question 4

What is the first phase of the menstrual cycle? What is occurring?

Answer 4

Follicular phase, occurring in the ovary. Egg (ovum) matures from increasing levels of FSH

Question 5

What is occurring at the same time as the follicular phase?

Answer 5

Proliferative phase, occurring in the uterus. Uterus proliferates due to increasing levels of estrogen

Question 6

Once there is a surge in FSH/LH and the oocyte is extruded from the follicle, what stage are we in?

Answer 6

Ovulation phase

Question 7

What occurs after ovulation in the ovary?

Answer 7

Luteal phase
The Graafian follicle has now become the corpus luteum after releasing the oocyte – causing a rise in progesterone.

Question 8

What occurs after ovulation in the uterus?

Answer 8

Secretory phase – high progesterone levels calm the endometrium making the uterine environment conductive to implantation

Question 9

What is the second phase of the menstrual cycle?

Answer 9

luteal phase

Question 10

If a menstral cycle is greater than 35 days, what is it?

Answer 10

Oligomenorrhea

Question 11

If a menstural cycle is less that 21 days, what is it?

Answer 11

Polymenorrhea

Question 12

During the luteal phase a pt has severe mood changes that subside after the period is over, what is it?

Answer 12

PMDD

Question 13

How do we treat PMDD?

Answer 13

symptom diary, lifestyle changes, OCP’s, and SSRI’s

Question 14

What does dyspareunia mean? What is it normally caused by?

Answer 14

Pain with sex. Common in post-menopausal women & after giving birth

Question 15

What is the most common cause of excess androgen and hirsutism?

Answer 15

PCOS

Question 16

A patient presents with difficulty getting pregnant and truncal obesity, dx?

Answer 16

PCOS

Question 17

A PCOS pt will often also have what?

Answer 17

Diabetes

Question 18

How do you diagnose PCOS?

Answer 18

U/S – string of pearls or oyster ovaries
Elevated serum androgen levels
LH/FSH ratio increased
Clinical Dx if 2 of 3: oligo or amenorrhea, hyperandrogenism (obesity or hirsutism),
and U/S

Question 19

How do you manage PCOS?

Answer 19

OCP’s, weight reduction, manage lipids and insulin