GYN 3 - Uterus, Ovary, Infertility, Menopause

Question 1

1. Functional hypothalamic-pituitary-ovarian endocrine axis
2. An endometrium competent to respond to steroid hormone stimulation
3. An intact outflow tract from internal to external genitalia

Answer 1

The requirements for reuglar and spontaneous menstruation

Question 2

absence of menstruation

Answer 2

amenorrhea

Question 3

Age 13 WITHOUT normal growth or 2nd sexual development amenorrhea is ______ amenorrhea

Answer 3

primary

Question 4

Age 15 WITH normal growth & 2nd sexual development

amenorrhea is _____ amenorrhea

Answer 4

primary

Question 5

In previously menstruating women, absence of menses for > 3 cycle intervals results in _____ amenorrhea

Answer 5

secondary

Question 6

In previously menstruating women, absence of menses for 6 consecutive months results in ______ amenorrhea

Answer 6

secondary

Question 7

1 cause of amenorrhea

Answer 7

pregnancy

Question 8

painful menses

Answer 8

dysmenorrhea

Question 9

Physical finding of -
Asymmetrical/irregularly enlarged uterus (fibroids)

Suggests…

Answer 9

leiomyoma

Question 10

Physical finding of -
Tenderness, symmetrically enlarged uterus, “boggy”

Suggests…

Answer 10

adenomyosis

Question 11

Physical finding of -
Painful nodules in posterior cul-de-sac, restricted uterine motion

Suggests…

Answer 11

Endometriosis

Question 12

Physical finding of -
Thickened, tenderness of adnexal structures

Suggests…

Answer 12

inflammation from PID

Question 13

Abnormal uterine bleeding:

“Gushing” or “open-faucet” bleeding

Heavy (80 ml) or prolonged flow (7 days)

Answer 13

Menorrhagia

Question 14

Abnormal uterine bleeding:

Bleeding occurring b/w menses

Intermenstrual bleeding

Answer 14

Metorrhagia

Question 15

Abnormal uterine bleeding:

Menses occurring too frequently < 21 days

Answer 15

Polymenorrhea

Question 16

Abnormal uterine bleeding:

Heavy bleeding occurring @ irregular intervals

Amount (can be 80 ml) & duration also vary (can be 7 days)

Answer 16

Meno-metrorrhagia

Question 17

Abnormal uterine bleeding:

Menses >35 days apart

Bleeding usually decreased in amount

Answer 17

Oligomenorrhea