Menstrual Problems

Question 1

what is known as the ‘happy’ hormone?

Answer 1

progesterone

Question 2

oligo - menorrhoea

Answer 2

irregular periods

Question 3

inter-menstrual bleeding and post coital bleeding may indicate what?

Answer 3

chlamydia

Question 4

Abnormal uterine bleeding pneumonic

Answer 4

P - polyp
A - adenomyosis
L - leiomyoma
M - malignancy/ hyperplasia

C - coagulation 
O - ovaries (PCOS) 
E - Endocrine 
I - iatrogenic 
N - not yet classified

Question 5

where does endometriosis most commonly occur?

Answer 5

pouch of douglas

but also ovary and pelvic peritoneum

Question 6

where is the pouch of douglas?

Answer 6

between the rectum and the back wall of the uterus

recto-uterine pouch

Question 7

endometriosis is a …….. dependent chronic condition

Answer 7

oestrogen

Question 8

endometriosis symptoms

Answer 8

premenstrual pelvic pain

dysmenorrhoea

deep dyspareunia

subfertility

Question 9

how do you diagnose endometriosis?

Answer 9

Pelvic Exam

Ultrasound Scan

Diagnostic Laparoscopy

Question 10

what age does menopause start?

Answer 10

50-55

Question 11

what are some of the main causes of heavy menstrual bleeding?

Answer 11

uterine fibroids

endometrial polyps

endometriosis and adenomyosis

PID

endometrial hyperplasia or carcinoma

PCOS

Question 12

how do you diagnose fibroids?

Answer 12

USS

Question 13

what is adenomyosis?

Answer 13

endometrium

embedded in the myometrium

Question 14

how do you diagnose endometrial polyps?

Answer 14

US

hyesteroscopy

(treat with polypectomy)

Question 15

medical treatment for HMB?

Answer 15

transexamic acid

mefenamic acid

hormonal contraception

combined hormonal contraception

IUS

oral progestogens