Menstrual Dysfunction Better Flashcards
Follicular phase:
Stimulates ovarian follicles and granulosa cells to produce oestrogens
FSH
Follicular phase:
Stimulates ovarian follicles and granulosa cells to produce oestrogens
FSH
Follicular phase:
Raising oestrogen and inhibin by dominant follicles inhibits the production of what?
FSH
Follicular phase:
What does a declining FSH level cause?
Causes atresia of all but dominant follicles
When does the corpus luteum break down?
14 days after ovulation
Which hormone influences the proliferative phase?
Oestrogen
Which hormone influences the luteal phase?
Progesterone
In menstruation, fibrinolysis prevents what?
Inhibits scar tissue formation
How many mls of blood lost in normal menstruation?
Menhorragia
Prolonged and increased menstrual flow
Metrorrhagia
Regular intermenstrual bleeding (i.e. this is not normal if bleeding between periods)
Endocrine disorders that could cause menorrhagia?
Hypo/hyperthyroidism
Diabetes
Adrenal disease
Prolactin disorders
Most common form of dyfunctional uterine bleeding (DUB):
anovulatory or ovulatory?
Anovulatory (85%)
What causes ovulatory DUB bleeding?
Due to inadequate progesterone production by corpus luteum
What can a transvaginal ultrasound show?
- endometrial thickness
- presence of fibroids and other pelvic masses