menstrual disorders and pcos

Question 1

what are causes of abornoaml uterine bleeding prior to menarche

Answer 1

malignancy
trauma
sexual abuse

Question 2

Causes for abnormal uterine bleeding

Answer 2

PALM-COEIN
P-polyps benign lesions
A-adenomyosis
L-leiomyoma
M-maligancy

C-coagulopathies
O-ovulary dysfunction
E-endomedtrial
I-infection
N-not other wise specified

Question 3

what are some coagulopathies that may cause abnormal uterine bleeding?

Answer 3

von willibrands disease
platelet disorders-thrombocytopenia
liver diseases
blood malignancies-leukemias

Question 4

what are some causes of ovulary dysfunction?

Answer 4

pregnancy adolences and menopause
PCOS ***
congenital adrenal hyperplasia
prolactinoma
hypothyroid

Question 5

what are the hallmarks of PCOS

Answer 5

anovultion
acne
hirsutism
obesity
acanthuses
DM
menstrual irregularities

Question 6

what causes PCOS

Answer 6

elevated androgen levels
unopposed estrogen stimulation
insulin resistance
may or may not have cyst on ovaries

Question 7

what are the lab values associated with PCOS?

Answer 7

testosterone >200
DHEAS
FSH/LH

Question 8

what are some DD of PCOS?

Answer 8

congenital adrenal hyperplasia
androgen secreting tumors
cushings syndrome

Question 9

what do you see physiologically in the females plateau stage

Answer 9

marked degree of vasocongestion throughout the body

especially lower 1/3 of vagina…decrease in diameter