Menstrual Disorders Worksheet Flashcards
13 y/o (or anyone really) w/o normal growth or w/o the development of 2nd sex characteristics
primary amenorrhea
15 y/o with normal growth and development of secondary sex characteristics with amenorrhea suggests ____ amenorrhea
primary
no menses for at least or > 3 months
secondary amenorrhea
6 consecutive months of no menses
secondary amenorrhea
Number one cause of amenorrhea
pregnancy
Progesterone challenge
FSH/LH levels
Prolactin
TSH
are all labs that should be checked with a diagnosis of…
amenorrhea
in treating a pt with amenorrhea that wishes to have a pregnancy, you would…
induce ovulation
in treating a pt with amenorrhea that does not wish to become pregnant, you would…
try oral combo contraceptives
common complications of amenorrhea
infertility
endometrial hyperplasia
painful menses
dysmenorrhea
does dysmenorrhea require meds?
yes
primary dysmenorrhea is related to…
uterine muscle activity
secondary dysmenorrhea is related to…
an identifiable cause
primary dysmenorrhea is caused by…
prostaglandins!
secondary dysmenorrhea is caused by…
something occurring outside uterus or within the uterine wall or within the uterine cavity
PE shows a normal exam with ____ dysmenorrhea
primary
PE shows an asymmetrical uterus, a tender-boggy uterus, uterine restriction or adnexa tenderness with _____ dysmenorrhea
secondary
in dx secondary dysmenorrhea, you should…
conduct dx studies that determine the cause
tx of primary dysmenorrhea
NSAIDs
tx of secondary dysmenorrhea
treat underlying dx
pregnancy
systemic disease
cancer
are all possibilities with…
dysfunctional uterine bleeding
in order to dx dysfunctional uterine bleeding, one must…
exclude all possible pathological causes
PE is preformed in dysfunctional uterine bleeding to asses for …
masses
irregular uterus
adnexal tenderness
pregnancy test PAP CBC TSH LFT FSH Prolacting Progesterone
should all be run for…
dysfunctional uterine bleeding
