Menstruation

Question 1

DUB pathology

Answer 1

disturbance of oestrogen and/or progesterone levels resulting in irregular shedding of endometrium

Question 2

hx that supports DUB

Answer 2

1. irregular cycles
   symptoms assc with cycle e.g
2. midcycle mucus change
3. premenstrual bleeding
4. dysmenorrhoea

Question 3

DUB PE findings that support

Answer 3

NAD

Question 4

known fibroids, characteristics of AUB

Answer 4

heavy periods

IMB only if submucosal position + being extruded

Question 5

Premenstrual bleeding, 2 most likely ddx

Answer 5

1. endometriosis
   
   1. chlamydial infection