Menstrual Disorders Flashcards
Uterine and ovarian causes of heavy menstrual bleeding
Uterine fibroids Endometrial polyps Endometriosis and adenomyosis Pelvic inflammatory disease and pelvic infection Endometrial hyperplasia or carcinoma Polycystic ovary syndrome
Symptoms of uterine fibroids
HMB
Dysmenorrhoea
Pelvic pain
Symptoms of endometrial polyps
HMB
Intermenstrual bleeding
PID and pelvic infection presentation
eg chlamydia Vaginal discharge Pelvic pain Intermenstrula and postcoital bleeding Fever
Symptoms of endometriosis and adenomyosis
HMB Dysmenorrhoea Dyspareunia Pelvic pain Difficulty conceiving
Endometrial carcinoma or hyperplasia symptoms
Postcoital bleeding
Intermenstrual bleeding
Pelvic pain
PCOS symptoms
Anovulatory menorrhagia
Oligomenorrhoea
Systemic causes of HMB
Coagulation disorders
Hypothyroidism
Liver or renal disease
Iatrogenic causes of HMB
Anticoagulant treatment
Herbal supplements
IUD
What are fibroids?
Non cancerous growths made of muscle and fibrous tissue
Myoma or liemyoma
Fibroids
Presentation of fibroids
Asymptomatic HMB Pelvic pain Urinary symptoms Pressure symptoms Backache Infertility Miscarriage
Diagnosis of fibroids
USS
What is endometriosis?
Endometrial tissue present outside the lining of the uterus
Ectopic tissue bleeds during menstruation
Diagnosis of endometriosis
Pelvic examination
USS
Diagnostic laparoscopy
