O+G - Gynaecology Flashcards
Definition - Premenstrual Syndrome
A complex of symptoms experienced in the days prior to menstruation
Physical Symptoms - Premenstrual Syndrome
Bloating
Cravings
Mastalgia
Psychological Symptoms - Premenstrual Syndrome
Anxiety
Depression
Irritability
Mood swings
Diagnosis - Premenstrual Syndrome
Symptom diary for at least two cycles
GnRH analogies as a second line
Management - Premenstrual Syndrome
Lifestyle changes
Combined hormonal contraceptive pill
Low dose SSRIs
Lifestyle Changes - Premenstrual Syndrome
Small frequent carb rich meals
Regular exercise
Good sleep
Smoking/alcohol cessation
Definition - Menorrhagia
Heavy menstrual bleeding that interferes with daily life
Presentation - Menorrhagia
Tiredness
Long, heavy periods
Diagnosis - Menorrhagia
Clinical diagnosis
Look for a cause
Bloods = FBC, coagulation screen
Management Indication - Menorrhagia
No specific cause found
Management Outline - Menorrhagia
- Mirena
- Tranexamic acid or COC
- DMPA injections
- Secondary care
Presentation - Uterine Prolapse
Constipation + incontinence
Dragging sensation
Feeling of a lump
Management - Uterine Prolapse
Asymptomatic = pelvic floor muscle exercises
Symptomatic = pessaries, reconstructive surgery
Degrees of Severity - Uterine Prolapse
1 = cervix dropping into vagina
2 = cervix dropping to inside the opening of the vagina
3 = cervix outside of the vagina
4 = entire uterus outside of the vagina
Definition - Endometriosis
Presence of ectopic endometrial tissue outside of the uterine body
