O&G - Menstrual disorders

Question 1

action of progesterone

Answer 1

• blocks proliferate effect of oestrogen

- thickens cervical mucus

Question 2

first line persistent heavy menstrual bleeding therapy:

Answer 2

• intrauterine system
• mirena
• contraceptive
• side effects: irregular menses for first 6 months, breast tenderness. acne, headaches,

Question 3

second line therapy for persistent HMB:

Answer 3

• Combined hormonal contraceptive
• microgynon 30

side effects: headache, mood change, migraine, nausea, DVT

or Tranexamic acid only when bleeding

Question 4

first line therapy in lichen sclerosus?

Answer 4

• topical steroids

Question 5

what might be given to manage obesity in PCOS?

Answer 5

• orlistat

- pancreatic lipase inhibitor

Question 6

cervical ectropion

Answer 6

• does not typically cause painful periods

- where cells from inside cervical canal are present on the outside surface of the cervix

Question 7

which treatment works by inhibition of prostaglandin synthesis for primary dysmenorrhoea?

Answer 7

ibuprofen