Menstrual Cycle, Problems and Vaginal Bleeding Flashcards
Endometriosis
Management
Pain - hot water bottles, Ponstan, paracetamol, etc.
COCP - can skip sugar tablets every 1-2 cycles
Depot Provera (GNRH analogue)
Laparoscopy - remove bits of endometriosis, cysts and adhesions
Radical hysterectomy and bilateral salpingoophrectomy
Asherman’s
Irregular spotting in someone with PHx of D&C
PCOS
Primary infertility
Fullness in both adnexae
Prolactinoma
Secondary amenorrhoea, frequent headaches, nipple discharge
Premature ovarian failure
<40
Low oestrogen, high 3 day FSH
Adenomyosis
Older age (~40)
Dysmenorrhoea and menorrhagia
Glandular tissue found in the myometrium of the uterus
Fibroid uterus
Menorrhagia and intermenstrual bleeding
Palpable large mass in midline suprapubic region that is fixed
Benign ovarian tumour
Irregular periods
Mass in adnexa
No hepatosplenomegaly or ascites
HCG
Used in IVF to induce ovulation
Testosterone
Produced by Leydig cells
Estradiol
Low during menopause