MTB Gyne Flashcards
Postcoital bleeding is
Cervical cancer until proven otherwise
Contraindications of HRT
Breast or endometrial cancer
DVT or PE
Menorrhagia causes
Endometrial hyperplasia adenomyosis Uterine fibroid dysfunctional uterine bleeding IUD PCOS
Metrorrhagia causes
Endometrial polyps
Endometrial/cervical cancer
Exogenous estrogen
Endometriosis
Oligomenorrhea >35 days
Pregnancy
Menopause
Weight loss
Types of vaginitis
Bacterial Gardnerella
Candidiasis
Trachomons
Premenstrual syndrome
Symptoms
- Headache
- Breasttenderness
- Pelvic pain and bloating
- Irritability and lack of energy
Patient should decrease consumption of caffeine, alcohol, cigarettes, and chocolate and should exercise. If symptoms are severe, give SSRis.
Danazol is an
androgen derivative that is associated with acne, oily skin, weight gain, and hirsutism.
Leuprolide acetate (leupron) is a
GnRH agonist and when given continuously suppresses estrogen. Leuprolide is associated with hot flashes and decreased bone density.
PCOS symptoms
- Amenorrheaorirregularmenses
- Hirsutism and obesity
- Acne
- Diabetes mellitus Type 2 (increased insulin resistance)