Menarche, Puberty and Menstrual Disorders Flashcards
Menarche
1st occurrence of menstruation
Primary Amenorrhea
- Absence of menarche by age 13 WITHOUT secondary sexual development
OR - Absence of menarche by age 15 WITH secondary sexual development
Secondary Amenorrhea
Absence of menstruation for at least 6 months
With secondary amenorrhea, levels of what should be checked to rule out pregnancy?
hCG
It is rare to remain amenorrheic for greater than?
90 days
Polymenorrhea
Abnormally frequent menses @ intervals of < 21 days
Oligomenorrhea
Abnormally infrequent menses @ intervals of > 35 days
Menorrhagia
Excessive bleeding and/or prolonged menses occurring at regular intervals
Metrorrhagia
Irregular episodes of uterine bleeding
Menometrorrhagia
Heavy AND irregular uterine bleeding
Intermenstrual bleeding
Scant bleeding at ovulation for 1 - 2 days
With Menorrhagia, the excessive bleeding is usually defined as > ___ mL
80
AUB
Abnormal Uterine Bleeding
What is the classification system for AUB?
PALM-COEIN
What is AUB?
Abnormal uterine bleeding that is NOT attributed to:
- medications
- blood disease
- systemic disease
- trauma
- organic conditions
When do most AUB occur?
Around Menarche or Premenopausal
AUBs are usually caused by disruptions to the?
Hypothalamic-Pituitary-Ovarian axis that results in Anovulation (no egg released)