Infertility, Menopause, PO Flashcards
Infertility is the inability of the couple to conceive after this period of time of trying
1 year
First line treatment for anovulation
Clomiphene citrate
This drug for anovulation or ovarian hyperstimulation syndrome competes with estrogen binding sites on the hypothalamus and increases FSH and estrogen
Clomiphene citrate
Aromatase inhibitor that inhibits E2 production and increases FSH
Letrozole
This occurs due to complications from gonadotropin administration Fluid shift Ascites Pleural effusion Electrolyte imbalance Thromboembolism
Ovarian Hyperstimulation syndrome
Characteristic feature seen in the uterus when a patient has TB infection
Pipe stem tube
Menopause occurs after __ months of amenorrhea after the LMP with no attributable cause
12 months
Hallmark of perimenopause
Skipped periods, longer intervals
Period of time when a woman passes from reproductive stage to non reproductive Perimenopause, menopause and postmenopausal years
Climacteric
Average age of menopause for Filipinos
48 years old
Mean duration of perimenopause
5 years
Inhibin, FSH and LH levels in menopausal transition is
FSH- increased Inhibin- decreased LH- remain normal
Principal steroid secreted by the ovary in menopause
Androstenedione
Hallmark of female climacteric
Hot flush
Bone changes with decreased estrogen levels in menopause include
Loss of trabecular bone
Most common bone fracture in postmenopausal women
Vertebral bone fracture
Absolute contraindication for hormone replacement therapy in postmenopausal women
Porphyria cutanea tarda
Stage of POP when it is 1cm above hymenal ring
Stage 1

Stage of POP when it is 1cm below hymenal ring
Stage 3

Conservative therapy for POP
Pessary Pelvic floor muscle training
Surgical treatment for cystocele
Anterior colporraphy
Surgical treatment for rectocele
Posterior colporraphy
Mean age of perimenopause
45.1y/o (39 to 51 y/o)