Gynae VIVAs Flashcards
RFs for ectopic pregnancy
maternal age
smoking
IUD
endometriosis
PID
TOP
previous Hx
absolute CIs of COCP
migraine w. aura
breastfeeding <6 wks post partum
active breast cancer
common SEs of sex hormones
progestogenic:
depression
PMS
bleeding
acne
weight gain
oestrogen:
headache
nausea
breast tenderness
risks assoc. w. IUD/S
ectopic
pain
perforation
expulsion
infection
PID
forms of sterilisation
female:
Filshie clips
transcervical sterilisation
hysterectomy
male:
vasectomy
define FGM
partial/total removal of external genitalia +/- injury to genital organs for cultural/religious/non-therapeutic reasons
types of FGM
1: clitoris
2: clitoris + partial/total removal of labia
3: infibulation (stitching)
4: other
countries where FGM is common
Nigeria
Eritrea
Somalia
causes of PV bleeding
cancer
fibroids
endometriosis
PID
cervical ectropion
types of endometrial cancer
mucinous
serous
secretory
endometrioid
clear cell
RFs for endometrial cancer
obesity
nulliparity
early menarche/late menopause
unopposed oestrogen
DM
PCOS
HNPCC
tamoxifen
frequency of cervical cancer screening
25-49: every 3 years
50-64: every 5 years
what is a uterine fibroid
benign smooth muscle tumour - leiomyoma
types of fibroids
submucosal
intramural
subserosal
how common are fibroids
1 in 3 women will develop at some point in their life
endometriosis vs fibroids
endometriosis: dysmenorrhoea
dyspareunia
pain w. bowel movements
intermenstrual/post-coital bleeding
causes of dysmenorrhoea
endometriosis
adenomyosis
PID
fibroids
how can fibroids affect pregnancy
abnormal lie
red degeneration
risks of HRT
VTE
stroke
CHD
breast + ovarian cancer
types of HRT
combined
oral/transdermal
cyclic/continuous
CIs for HRT
pregnancy
undxed abnormal PV bleeding
active breast/endometrial cancer
active thromboembolic disease
acute liver disease