Menstrual Disorders Flashcards
What is the median age of menarche and what percent of females will have had it by age 15?
Median age 12.43 years
By age 15- 98% of females will have had menarche
What is primary amenorrhea?
Absence of menarche by age 13 wi/out secondary sex development or by age 15 with secondary sex development
What is the normal menstrual cycle interval and length in young females?
Interval: 21-45 days
Length: 7 days or less
What is the mean cycle interval in the first gynecologic year?
32.2 days
What is the order of stages of normal pubertal development?
TAG ME
Thelarche, Adrenarche, Growth spurt, Menarche
What is secondary amenorrhea?
Patient with prior menses has absent menses for 6 months+
What is the difference between polymenorrhea and oligomenorrhea?
Polymenorrhea: Frequent menses, intervals 35 days, but
What system is used to classify AUB in reproductive-aged women?
PALM: Structural Causes
COEIN: Non-structural causes
What is menorrhagia?
Excessive/prolonged bleeding (>80mL and >7 days), occurs at normal intervals
What is Mullerian agenesis?
Failure of Mullein duct fusion–> absent uterus and upper vagina. 46XX, presents with primary amenorrhea
What is androgen insensitivity?
46XY, male testosterone, no uterus, with testes
Insensitive to androgens
What is Tanner staging pubic hair stage 3 and 4?
Stage 3- Hair spread sparsely over pubes junction, darker and courser
Stage 4- Adult type hair, no spread to medial thighs
What is Tanner staging of the breast 1 and 2?
1- Elevation of papilla only
2- Breast bud with elevation of breast and papilla
What is tanner staging of the breast 3 and 4?
3- Enlargement of breast/areola without separation
4- Projection of areola and papilla to form a secondary mound
How would you treat true precocious puberty?
Leuprolide (GnRH agonist)
