Orientation Lecture: Abnormal Uterine Bleeding Flashcards
Which two kinds of fibroids are most likely to cause increased bleeding?
- Intracavitary
* Submucosal
Describe the COEIN mnemonic for abnormal bleeding.
- Coagulopathy
- Ovulatory dysfunction
- Endometrial
- Iatrogenic
- Not yet classified
The normal cycle length is ___________.
21 to 35 days
List some key questions to ask in a gynecologic history.
- How long is your cycle, usually?
- How many pads do you usually soak?
- How long do you usually bleed?
- When was your first period?
If a young woman has a variant cycle, then you can say she has ________________.
an immature ovulatory HPO axis
In the TPAL nomenclature system, what does it mean if L is greater than the sum of TPA?
One pregnancy was a multiple gestation.
What physical exam sign can help distinguish fibroids from polyps?
An enlarged uterus is suggestive of fibroids.
Saline-infusion studies (SIS) are useful in ______________.
evaluating fibroids
The average age of menopause in the United States is ___________.
51
_____________ can be used to alleviate the menstrual symptoms of fibroids, particularly if a woman is already close to menopause.
Leuprolide (Lupron)
What percent of hysterectomies are due to fibroids?
40.7%
There are no labs for _______________.
menopause; it is defined clinically as one year without periods
The __________ IUD causes amenorrhea.
Mirena
