Menstruation disorders

Question 1

Define menorrhagia

Answer 1

> 80mls blood loss per cycle

Question 2

Symptoms that indicate menorrhagia

Answer 2

Flooding, 2x pads per day

Question 3

Causes of menorrhagia

Answer 3

Dysfunctional uterine bleeding, Coagulopathy, IUD, Polyp, Endometrial hyperplasia, Chronic PID, Hypothyroidism

Question 4

Causes of irregular vaginal bleeding

Answer 4

Polyp, IUD, Endometrial hyperplasia, Chronic PID

Question 5

Investigations for menorrhagia

Answer 5

Bloods (FBC, Clotting, TFTs, FSH+LH), TV-USS, Endometrial hyperplasia

Question 6

Management options for menorrhagia

Answer 6

Hormones (IUS, COCP, GnRH agonists), Transenamic acid, Mefenamic acid, Endometrial ablation, Hysterectomy

Question 7

Symptoms of endometriosis

Answer 7

Pain (Pelvis, Cyclical), Dysmenorrhoea, Menorrhagia, Infertility, Dyspareunia, Bleeding

Question 8

Investigations for endometriosis

Answer 8

Laproscopy

Question 9

Management of endometriosis

Answer 9

NSAIDs, COCP, IUS, GnRH analogues, Endometrial ablation, Hysterectomy

Question 10

Define fibroids

Answer 10

Leimyomas of the uterus

Question 11

Symptoms of fibroids

Answer 11

Menorrhagia, Subfertility, Pain

Question 12

Treatment of fibroids

Answer 12

Transenamic acid, Mefenamic acid, Embolization, Myomectomy