Gynaecology Flashcards
Type of ovarian growth most commonly associated with Meig’s syndrome
Fibroma
Commonest benign ovarian tumour <25y
Dermoid cyst/Teratoma
Most common cause of ovarian enlargement in women of a reproductive age
Follicular cyst
Management of mild PMS
Sleep, exercise, smoking, alcohol
Small carby meals
Management of moderate PMS
New-gen COCP (Yasmin)
Management of severe PMS
SSRI (continuous or luteal)
Stress incontinence - 1st line
Pelvic floor training >3m
Stress incontinence - 2nd line
Surgery
Stress incontinence - 2nd line (declined surgery)
Duloxetine
Duloxetine - type of drug
SNRI
Urge incontinence - 1st line
Bladder retraining >6wks
Urge incontinence - 2nd line
Antimuscarinic
(oxybutinin, tolterodine, darifenacin)
Urge incontinence - drug used in elderly
Mirabegron (beta-3 agonist)
Primary dysmenorrhoea - 1st line management
NSAID (ibuprofen/ mefenamic acid)
Primary dysmenorrhoea - 2nd line management
COCP
Causes of menorrhagia
Dysfunctional/idiopathic
Anovulatory cycles
Fibroids
Hypoythyroidism
Copper coil
PID
vWD
Mirabegron side effects
Severe HTN
Tachycardia
Menopausal >50y - contraception is needed until
Amenorrhoeic 12 months
Menopausal <50y - contraception is needed until
Amenorrhoeic 24 months
RF for Ovarian Ca
BRCA1/BRCA2
Early menarche
Late menopause
Nulliparity