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Reproduction Year 3 > Menstrual Disorders > Flashcards

Menstrual Disorders Flashcards

1
Q

Define menorrhagia

A

prolonged + increased menstrual flow

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2
Q

Define metrorrhagia

A

regular intermenstrual bleeding

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3
Q

Define polymenorrhoea

A

menstruation occurring at <21 day intervals

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4
Q

Define polymenorrhagia

A

increased bleeding + frequent cycle

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5
Q

Define menometrorrhagia

A

Prolonged menses + intermenstrual bleeding

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6
Q

Define amenorrhoea

A

Absence of menstruation >6 months

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7
Q

Define oligomenorrhoea

A

Menstruation at intervals >35 days

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8
Q

Organic causes of menstrual disorder

A

i.e. there is a pathological cause
Fibroids
Pelvic inflammatory disease

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9
Q

what is the commonest cause of abnormal menstrual bleeding

A

Dysfunctional uterine bleeding (non-pathological)

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10
Q

what subgroups of dysfunctional uterine bleeding (DUB) is there

A

Anovulatory

Ovulatory

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11
Q

which type of DUB is more common

A

anovulatory

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12
Q

which type of DUB has an irregular cycle

A

anovulatory

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13
Q

describe the periods in ovulatory DUB

A

Regular + heavy

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14
Q

what causes ovulatory DUB

A

Inadequate progesterone production by corpus luteum

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15
Q

anovulatory DUB occurs in which women

A

Obese women

Extremes of reproductive life

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16
Q

which age age group does ovulatory DUB affect

A

35-45 year olds

17
Q

Investigations of DUB

A

FBC
Cervical smear
TSH
Coagulation screen

18
Q

how is diagnosis of DUB made

A

by exclusions

19
Q

Non surgical management of DUB

A

Progestogens
Combined oral contraceptive
Danazol

20
Q

what is danazol

A

synthetic steroid

21
Q

surgical management of DUB

A

Endometrial ablation

Hysterectomy

22
Q

what is required after endometrial ablation

A

oestrogen only HRT

No smear tests

23
Q

what is removed in radical hysterectomy

A

Complete removal of uterus, cervix + upper vagina

24
Q

what is removed in a total hysterectomy

A

complete removal of uterus and cervix with/without removal of ovaries

25
Q

what is the procedure that removes the ovaries called

A

oophorectomy

26
Q

what is removed in a sub-total hysterectomy

A

removal of the uterus leading the cervix in situ

Reproduction Year 3 (36 decks)

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