menstrual disorders Flashcards
what happens in follicular phase of cycle?
FSH stimulates follicle development
increasing oestrogen inhibits FSH
what happens just before ovulation
LH surge
what happens in luteal phase of cycle?
corpus luteum forms which releases progesterone
average menstrual cycle
28 days
menorrhagia
prolonged and increased menstrual cycle
metorrhagia
regular bleeding between periods
polymenorrheoa
periods occurring less than 21 days apart
polymenorrhgaia
increased bleeding and frequent cycle
menometroohagia
long periods and bleeding between periods
amenorrhoea
no periods for more than 6 months
oligomenorhhoea
periods occuring more than 35 days apart
name some local causes of menorrhagia * prolonged and increased menstrual cycle)
fibroids adenomyosis polyps cervical eversion pelvic inflammatory disease endometriosis malignancy in cervix or uterus trauma
pregnancy!- ectopic, miscarriage, post partum haemorrhage
name some systemic disorders causing menorrhagia
hyper/hypo thyroidism diabeties adrenal disease prolactin disorders liver/renal disorders drugs
how would you investigate dysfunctional uterine bleeding
full blood count cervical smear TSH coagulation screen renal/liver function tests transvaginal ultrasound endometrial sampling
what is the surgical management of DUB
hysterectomy
endometrial resection /ablation
but fertility is lost :(
