Ovulatory Dysfunction

Question 1

for Ovulatory Dysfunction, in an ovulatory cycle, the ovary produces ____, but no ____ is formed. This prevents the usual_____

Answer 1

estrogen
corpus luteum
withdrawal bleeding

Question 2

in OD: The continuously high ___ continues to stimulate growth of the ____. Bleeding occurs only once the ___ outgrows the blood supply.

Answer 2

estrogen
endometrium
endometrium

Question 3

Any patient age __ with abnormal bleeding should undergo ____

Answer 3

> 45

endometrial biopsy to rule out endometrial carcinoma.

Question 4

OD Diagnostic Tests

Answer 4

Rule out systemic reasons for anovulation, such as hypothyroid and hyperprolactinemia.

Question 5

imaging

Answer 5

A transvaginal ultrasound will help show whether structural causes are responsible for AUB

Question 6

first line Tx for patients with anovulatory bleeding after other etiologies have been ruled out

Answer 6

Long-acting reversible contraception (LARC):

Question 7

Long-acting reversible contraception (LARC) would you use

Answer 7

levonorgestrel intrauterine device (IUD) is preferred.

OCPs is an alternative option.

Question 8

If acute hemorrhage is present,__ is done to stop the bleeding

Answer 8

Dilation and curettage (D&C)

Question 9

AUB is regarded as severe if patients are

Answer 9

• anemic
• bleeding is uncontrolled with medical management
• patients report a compromised lifestyle.

Question 10

severe AUB Tx

Answer 10

endometrial ablation or hysterectomy