menorrhagia Flashcards
1
Q
normal age menarche
A
12
2
Q
normal age menopause
A
51
3
Q
avg duration menstuation
A
< 7 days
4
Q
avg volume
A
20-50mls
5
Q
structural causes of HMB
A
uterine fibroids
uterine polyps
adenomyosis
<1% malignancy
6
Q
other causes HMB
A
endocrine - hypothyroid coagulopathy - VWD contracepive - copper coil drugs - warfarin infection
7
Q
HMB history
A
LMP duration frequency quantity IMB/PCB assoc symptoms - pain, discharge, dysparaenia, weight PMH Drugs Obs gynae SH FH
8
Q
HMB investigations
A
GBC USS pipelle biopsy hytseroscopy TFTs/coag
9
Q
medical treatment
A
mirena coil tranexamic acid mefanamic acid-NSAID COC norethisterone injected progestogens ferrous sulphate
10
Q
surgical treatment
A
endometrial ablation
hysterectomy
removal uterine anomaly