PANCE reporductive Flashcards
what is the definition of dysfunctional uterine bleeding
this mean either bleeding too much or too little
How do you treat dysfunctional uterine bleeding
OCP’s
what is the definition of dysmenorrhea
painful menstration due to a pelvic pathology
what is the the definition of primary dysmenorrhea
Not due to a pelvic pathology
what is the definition of secondary dysmenorrhea
due to a pelvic pathology
what is the pain pattern of dysmenorrhea
diffuse pelvic pain around the time of menses
primary tx of dysmenorrhea
NSAIDs
secondary tx of dysmenorrhea
OCPs
premenstraul syndrome happens in what phase
luteal
premenstraul syndrome tx (2)
SSRI
OCP
what is the definition of primary and secondary amenorrhea
Primary: failure of menarche onset
secondary: absense of menses for > 3 months
what is the MC cause of amenorrhea
pregnancy
what are the 5 causes of amenorrhea
- Pregnancy
- Hypothalamus
- pituitary dysfunction
- ovardian disorders
- uterine disorder
what is the definition of menopause
cessation of menses for > 1 year
what is the average age for menopause
50-52
what is the best lab value for menapause
inc FSH
who can you give unapposed estrogen to
women who still have a uterus
what is a leimyoma or fibromyoma classified as
uterine fibroid
what is the growth of leimyoma dependent on
estrogen
MC age for Leimyoma
35
MORE COMMON ON BLACK X5
what are the MC symptom of uterine fibroid
bleeding
pelvic pain
leimyoma physical exam
large palpable mass in abdomen of pelvis
what are the 3 progressive tx for leimyoma
- Observation
- leuprolide
- hysterectomy
“islands of endometrial tissue within the myometrium
adenomyosis
“tender boggy uterus”
adenomyosis
endometritis risk factors
postpartum
postabortabl
C section
endometritis tx
Clindamyacin + gent
presence of endometrial tissue outside the endometrial cavity
endometriosis
endometriosis triad
- cyclic premenstrual pelvic pain
- dysmenorrhea (painful menstruation)
- dyspareunia
dx of endometriosis
laparoscopy
endometriosis tx
OCP
how do you dx endometriosis
biopsy
what is the MC gynecological malignancy in the US
endometrial
what is protective against endometrial cancer
- OCP
postmenapausal bleeding think what
endometrial cancer
functional ovarian cyst treatment
most resolve without treatment
what is the triad for PCOS
- amenorrhea
- obesity
- hirsutuism
PCOS is due to
insulin resistance
string of perls what dx
PCOS
what are the three tx for PCOS you would do all three
- OCP
- spronolactone
- insulin
what HPV causes cervical cancer
18 and 16