LC 2.7 Flashcards
menorrhagia
menstrual blood loss which interferes with a woman physical, emotional, social and material quality of life and involves a monthly menstrual blood loss in excess of 80ml
Metorrhagia
uterine bleeding that exceed 7 days in length or is determined by the patient to be “too long”
polymenorrhoea
cycles with intervals of less than 26 days of fewer and patients describe as “too frequent”
Oligomenorrhoea
cycles with intervals of more than 32 days and patients describe as “too infrequent”
what is postcoital bleeding?
- non menstrual bleeding that occur after sex
what is cervical ectropion?
the cells from inside move to outside and experience the pH and this makes it inflamed and these cells get agitated during sex
causes of inconvenient bleeding?
- idiopathic
- Fibroids
- Endometrial polyps
- endometrial hyperplasia
- hormonal effects
how does endometrial hyperplasia cause inconvenient bleeding?
This is caused when the hormone such as oestrogen induce the growth of the myometrium but there is unopposed oestrogen and cause continuous growth of the myometrium
causes of suspicious bleeding?
- Idiopathic
- Genital atrophy
- Fibroids
- Endometrial polyps
- Endometrial hyperplasia
- Hormonal effects
- Malignancy
- Other
what is the investigation of abnormal bleeding?
basic investigation of haemoglobin, TFTs and prolactin and also clinical
when to investigate further?
- failed medical therapy
- more than 40 years old
- bleeding suspicious
- examination is abnormal
what does further investigation include?
- abdominal ultrasound
- transvaginal ultrasound
- hypersteroscopy
- endometrial biopsy
- dilation and curettage
primary amenorrhoea
menstruation have not occured by the time of the expected menarche
secondary amenorrhoea
menstruation has previously occurred but it has stopped
