Gyn Flashcards
What are the initial and final treatments for PMDD
Decrease caffeine/alcohol/smoking/chocolate + increase exercise
Worse Sx get SSRIs
Post sex bleeding is ____ until proven otherwise
Cervical cancer
What is dysfunctional uterine bleeding and how do you confirm
Estrogen –> no CL –> no P –> withdrawal bleeding
Exclude other diagnoses (hypothyroid, hyperprolactinoma)
How long do each of these last: vaginal ring Transdermal patch Depot injection IUD
3 weeks
7 days (x3)
3 months
10 years
Lichen sclerosus vs planus and how do you treat both
Post menopausal thin white skin + cancer risk
30s-60s violet papales
Treat both with topical steroids
How do you treat a bartholin gland cyst (and if they recur)?
I&D (culture for STIs)
Marsupialization (open space kept open with sutures)
BV Sx + test
Fishy odor with no puritis –> clue cells
Candida discharge + test
White cheesy discharge + KOH shows pseudo hyphae
Trich Sx + diagnosis
Profuse green frothy discharge usually in high pH + motile flagellates
Define the stages of SCC of the vagina
0: CA in situ
1: 2cm
3: spread to lower urethra or anus with lymph nodes
4: invades bladder or rectum or bilateral nodes
4a: distant mets
What is the exam/test/treatment for adenomyosis
Boggy uterus/MRI/hysterectomy
What are 2 drugs for severe endometriosis?
Danazol
Leuprolide (GnRH agonist)
What is the LH:FSH ratio in PCOS
3:1
What 2 drugs should be given to PCOS patients wishing to conceive? What drug for those who do not want to conceive?
Clomiphene + Metformin
OCPs (control androgen levels and prevent endometrial hyperplasia)
PMDD criteria
Sx for 2 consecutive cycles
Sx free period of 1 week in follicular phase
Sx during luteal phase
Dysfunction of life
