Menstrual disorders Flashcards
menstraul cycle?
follicle, luteal
abn uterine bleeding without bio cuase?
AUB
AUB dig, tx
Exclusion, NSaid, Ocp, surgery
primary amenorrhea workup?
bHCG, prolactin, FSH, LH, TSH
primary amenorrhea ovarian?
POF, PCOS,
2 amenorrhea causes
pregnant
heavy bleed, pit problem, scarred uterus
Asherman
dysmenorrhea is?
painful periods - NSAID, OCP
2 dysmenorrhea is due to?
endometriosis, fibroids, PID, adhesions.
2 weeks prior to menses of physical, poor conc. sxs?
PMS
PMS + functional impairment
PMDD - SSRI (depressed)
xsx = hotflashes, mood changes, vag atrophy, dyspareunia.
menopause
menopause labs?
high FSH,LH, low estrogen
menopause tx?
HRT, topical estrogen, SSRI
endometrial tissue in myometrium + menorrhagia?
adenomyosis (boggy uterus) only in the uterus
adenomyosis diag? tx?
US, TAH, NSAID
uterine fibroids, AA
leiomyoma
leiomyoma diag?
US, hard palpable mass
leiomyoma tx?
hormones’, ablate, TAH
30 yo, cyclic pain, dysmenoreah, disparenia.
endometriosis
endometriosis diag?
laparoscopy
endometriosis tx/
hormones, nsaid, ablation, tah
endometrial hyperplasia is a precourse to?
endometrial adenocarcimona
endometrial hyperplasia sxs,
bleeding after menopause
endometrial hyperplasia diag/tx
us, biopsy.
Progestin - to get preg
TAH if atypia
endometrial cancer 1 is due to
unopposed estrogen
endometrial cancer 2 due to
p53
endometrial cancer diag is?
endometrial biopsy
endometrial cancer tx
Progesteron - child bear
TAH, SBO+ radiation