Menstrual Disorders

Question 1

Dysmenorrhea is pain of menstruation.

Answer 1

OH. Primary in kids

Question 2

Frequent bleeding?

Answer 2

Metrorrhagia (think like a metronome)

Question 3

Irregular periods that are very heavy think what?

Answer 3

Anovulatory. It just builds and builds until it lets down

Question 4

Regular heavy periods what is differential?

Answer 4

Fibroid, adenomyosis, polyps

Question 5

Who gets endometrial biopsy?

Answer 5

Over 45 and abnormal bleeding

Extended period of time with abnormal bleeding

Question 6

Depression, constipation and abnormal uterine bleeding?

Answer 6

THINK HYPOTHYROID

Question 7

Hemodynamically unstable from bleeding tx?

Answer 7

Intrauterine tamponade

You can do curettage

IV HIGH DOSE ESTROGEN to regrow it
with that you need antiemetic

Question 8

Most common cause of abnormal bleeding?

Answer 8

Anovulatory cycle

Question 9

Diagnosis of PCOS needs 2 of 3 things

Answer 9

Anovulation or oligoovulation
Androgen excess
Polycystic ovaries on US

Question 10

Cancer risk with PCOS?

Answer 10

Endometrial cancer: lots of estrogen constantly stimulated, BUT NEVER progesterone from ovulation

Question 11

Most important thing as a provider to do for PCOS?

Answer 11

give progesterone to prevent endometrial cancer

OCPs are first line treatment after exercise and weight loss

Metrofmin helps

Clomiphene helps get pregnant