Menstrual Disorders Flashcards
Define menorrhagia
prolonged + increased menstrual flow
Define metrorrhagia
regular intermenstrual bleeding
Define polymenorrhoea
menstruation occurring at <21 day intervals
Define polymenorrhagia
increased bleeding + frequent cycle
Define menometrorrhagia
Prolonged menses + intermenstrual bleeding
Define amenorrhoea
Absence of menstruation >6 months
Define oligomenorrhoea
Menstruation at intervals >35 days
Organic causes of menstrual disorder
i.e. there is a pathological cause
Fibroids
Pelvic inflammatory disease
what is the commonest cause of abnormal menstrual bleeding
Dysfunctional uterine bleeding (non-pathological)
what subgroups of dysfunctional uterine bleeding (DUB) is there
Anovulatory
Ovulatory
which type of DUB is more common
anovulatory
which type of DUB has an irregular cycle
anovulatory
describe the periods in ovulatory DUB
Regular + heavy
what causes ovulatory DUB
Inadequate progesterone production by corpus luteum
anovulatory DUB occurs in which women
Obese women
Extremes of reproductive life
which age age group does ovulatory DUB affect
35-45 year olds
Investigations of DUB
FBC
Cervical smear
TSH
Coagulation screen
how is diagnosis of DUB made
by exclusions
Non surgical management of DUB
Progestogens
Combined oral contraceptive
Danazol
what is danazol
synthetic steroid
surgical management of DUB
Endometrial ablation
Hysterectomy
what is required after endometrial ablation
oestrogen only HRT
No smear tests
what is removed in radical hysterectomy
Complete removal of uterus, cervix + upper vagina
what is removed in a total hysterectomy
complete removal of uterus and cervix with/without removal of ovaries
what is the procedure that removes the ovaries called
oophorectomy
what is removed in a sub-total hysterectomy
removal of the uterus leading the cervix in situ
