Gynae Clinic - Heavy Menstrual Bleeding (Menorrhagia)

Question 1

What are the:

1. Symptoms
2. Examination findings
3. Investigations
4. Treatment

of Dysfunctional Uterine Bleeding

Answer 1

1. Menorrhagia, increased Kappa
2. Normal gynae exam
3. FBC to exclude anaemia
4. Mirena Coil/ COCP/Tranexamic acid

Question 2

What are the:

1. Symptoms
2. Examination findings
3. Investigations
4. Treatment

of fibroids?

Answer 2

1. Menorrhagia, Increased Kappa, dysmenorrhea, pressure symptoms
2. Palpable mass and adnexal tenderness
3. Pregnancy test, biopsy if over 40, US, FBC
4. Coil, COCP, tranexemic acid, uterine artery embolization

Question 3

What are the:

1. Symptoms
2. Examination findings
3. Investigations
4. Treatment

of endometriosis?

Answer 3

1. Menorrhagia, deep dyspaeurenia, dysmennorhoea, intermenstrual bleeding
2. Maybe nothing - need to see laporascopically
3. Laporoscopy
4. COCP/GNRH analogues/Mirena/Ablation