Mx of Dysfunctional Uterine Bleeding

Question 1

A 25-year old married woman who presents with irregular menstrual cycles and menorrhagia. She would not like to start a family yet.

Answer 1

Oral contraceptive

Question 2

A 50-year old woman present with irregular uterine bleeding.

Answer 2

Hysteroscopy

Question 3

A 14-year old female complains of heavy periods and pain. She is not sexually active.

Answer 3

Mefenemic acid (as not sexually active)

or oral contraceptive

Question 4

A 40-year old woman presents with heavy, regular periods

Answer 4

Provera

Question 5

A 33-year old woman presents with intermenstrual bleeding that is not controlled with oral contraceptives.

Answer 5

Pipelle endometrial sampling

Need to ensure it’s just a hormonal blip and not something more sinister