pathology of the uterus Flashcards
name the phases of the ovarian cycle
follicular
ovulation
luteal
name the phases of the uterine cycle
menstruation
proliferative
secretory
When is the proliferative phase
days 1-14
what hormone mediates the proliferative phase
oestrogen
What hormone mediates the secretory phase and what days does it occur
progesterone
days 14-28
when is the endometrium considered to be thickened
more than 4 mm in post menopausal
more than 16mm in pre menopausal
define post menopausal bleeding
AUB more than 1 year after cessation of menstruation
what is the most thorough sampling method of the endometrium
dilatation and curretage
when is the least informative time to take the sample
during menstrual phase
how does DUB occur
corpus luteam does not form and there is continues growth of functionalis layer
what can cause dub
PCOS
hypothalamic dysfunction
thyroid disorders
hyperprolacinaemia
What is luteal phase deficiency and how does it cause duB
insufficient progesterone or poor response by endometrium to progesterone. abnormal follicular development (inadequate FSH/LH) - poor corpus luteum
what can cause endometritis
Microorganisms IUCD post partum/abortion post curettage granulomatous (sarcoid) leimyomata or polyps
what characterises a molar pregnancy histologically
swollen chorionic villi
which type of mole is more likely to becomea choriocarcinmona
complete