Gyn Generelt Flashcards
Secondary ameorrhea
No menstuation for 6 months
Primary amenorrhea
No menstruation (before 16 yrs old)
Oligomenorrhea
From 38 days to 6 months
Sheehans syndrome
Ischemic necrosis of the pituitary gland postpartum
Climacterium preacox
Menopause befor 40 years
Kallmann syndrom
Insufficient production og GnRH leading to creased function of sexual organs and loss of smell. Also linked with hearing loss and facial deformation.
Ashermann’s syndrome
Adhesions in the uterus causing secondary amenhorrea, infertility and spontaneous abortion.
PCOS
2 av 3:
Oligo-/amenorrhea
Hyperandrogenisme
PCO
Adipositas and insulin resistance can also be present, but not necessary for diagnosis.
Metrorrhagia treatment
Cyclig gestagens
Contraceptive pills
Sugery >30 years
Menorrhagia treatment
Antifibrinolytics or NSAIDS Hormone IUD Systemic gestagen treatment Contraceptive pills Surgery
Amenorrhea/oligomenorrhea
History Clinical exam Gyn exam Gnancy test Lab: LH, FSH, prolactin, TSH, FT4 (Testosteron, SHBG, DHEA-s, lever, nyre, karyotyping)
Amenorrhea treatment
Surgery congenital malformations
Ontraceptive pill or hormone replacement
Obs: ostoporose ved lengre amenore
Oligomenorrhea and PCOS treatment
Contraceptive pills
Weight reduction
Antidiabetics
Or if pregnancy is desired:
Weight reduction
Induction of ovulation
IVF treatment
Dobbeltest
PAPP-A og hCG
Trippeltest
AFP, hCG og estriol
