Menstrual Cycle and Contraception Flashcards
Which structure reacts to LH to produce oestrogen and progesterone?
Corpus Luteum
Give 4 uterine causes of heavy menstrual bleeding
- Fibroids
- Endometrial polyp
- Adenomyosis
- Pelvic infection
What is the 1st line imaging for HMB?
Ultrasound
Give 2 non-hormonal pharmacological treatments for HMB with normal anatomy and histology results
Mefenamic acid
Tranexamic acid
Give 2 hormonal pharmacological treatments for HMB with normal anatomy and histology results
COCP
Depo-provera injection
Give 2 surgical options for HMB
Endometrial ablation
Hysterectomy
Define primary amenorrhea
No menses by 15 y/o +/- secondary sexual characteristics
Define secondary amenorrhoea
Menses stops for over 6 months without pregnancy
Define oligomenorrhoea
Cycle persistently lasting over 35 days
Give 4 causes of primary amenorrhoea
- Physiological delay
- Imperforate hymen
- PCOS
- Anorexia
What is the Tanner scale?
Staging scale used to assess development of secondary sexual characteristics
Give 4 investigations into primary amenorrhoea
- Bloods (FSH, LH, oestradiol, TFT, prolactin)
- X-ray for bone age
- Karyotype
- Cranial imaging
Give 5 causes of secondary amenorrhoea
- Pregnancy
- Lactation
- Menopause
- Hysterectomy
- PCOS
What is the difference between primary and secondary dysmenorrhoea
Pri: Idiopathic
Sec: Pelvic pathology underlying
Give 3 treatment options for dysmenorrhoea
- NSAIDs
- COCP
- Depo injection
