Menstrual Disorders Flashcards
What surges prior to ovulation?
LH
What are the phases of the normal cycle?
Follicular Ovulation occurs as the dominant follicle ruptures to release oocyte Luteal phase (corpus luteum formed, progesterone produced)
What hormone stimulates testosterone?
LH
What secretes progesterone?
corpus luteum
When does oestrogen rise?
follicular phase
Define amenorrhea.
No periods > 6 months
Define oligomenorrhea.
Menses occur at intervals of 35 days or more
What is non organic menorrhagia?
Dysfunctional Uterine Bleeding
Two types are anovulatory (most common) and ovulatory
Which type of DUB involves regular but heavy bleeding and how can it be treated?
Ovulatory
Mirena coil
What are fibroids?
benign smooth muscle tumours
How may fibroids present?
heavy bleeding, infertility, pain, mass or asymptomatic
What condition may undergo red degeneration and when may this occur and what are symptoms?
fibroids, second half of pregnancy
Symptoms are pain, vomiting and fever
Investigation for fibroids?
Hb, US
Large, boggy, tender uterus on examination?
Adenomyosis (endometriosis where endometrial gland tissue is found in uterine WALL)
Endometriosis symptoms?
cyclical pain
heavy/frequent periods
