Menstrual Disorders

Question 1

In the follicular phase, what does FSH stimulate, and what inhibits FSH production?

Answer 1

FSH stimulates ovarian follicle development and oestrogen production. Higher oestrogen and inhibin then lead to inhibited FSH production

Question 2

What do declining FSH levels cause?

Answer 2

atresia of dominant follicle

Question 3

What happens in ovulation?

Answer 3

there is an LH surge, and thend ominant follicle ruptures and releases oocyte

Question 4

WHat occurs in luteal phase?

Answer 4

corpus luteum forms, progesterone is produced

Question 5

What occurs in the proliferatice phase?

Answer 5

oestrogen induced growth of endometrial glands and stroma

Question 6

What inhibits scar tissue formation during menstruation?

Answer 6

fibrinolysis

Question 7

How long does menstrual loss usually last?

Answer 7

4-6 days

Question 8

When does menstrual flow peak?

Answer 8

day 1-2

Question 9

How much is normally released per menstruation?

Question 10

Define menorrhagia.

Answer 10

prolonged and increased menstrual flow

Question 11

Define mentrorrhagia

Answer 11

regular intermenstrual bleeding

Question 12

Define polymenorrhoea

Answer 12

menses occurring at

Question 13

Define polymenorrhagia

Answer 13

increased bleeding and frequent cycle

Question 14

Define menometrorrhagia

Answer 14

prolonged menses and intermenstrual bleeding

Question 15

Amenorrhoea?

Answer 15

absence of menstruation for more than 6 months

Question 16

Oligomenorrhoea?

Answer 16

menses at intervals of >35 days

Question 17

What is menorrhagia also known as?

Answer 17

dysfunctional uterine bleeding

Question 18

Name 4 endocrine disorders that can cause DUB?

Answer 18

diabetes, thyroid probz, adrenal disease, prolactin disorders

Question 19

Which disorders of haemostasis can cause DUB?

Answer 19

Von Willebrand’s disease