Paulson - Menopause Flashcards
abnormal menstrual length
< 2 days or > 7 days
abnormal menstrual flow
>80 mL
abnormal length of cycle
<21 days
>35 days
congenital d.o of reproductive system
underdeveloped, malfunctioning
gonadal dysgenesis/turner’s syndrome
4 causes of primary amenorrhea
ovarian dysfxn
pituitary dysfxn
hypothalamic dysfxn
outflow obstruction
ex of outflow tract obstruction
imperforate hymen
does outflow tract obstruction cause lifelong amenorrhea
no
most other primary amenorrheas do
cessation of previously regular menses for 3 months or previously irregular menses for 6 months
secondary amenorrhea
causes of secondary amenorrhea
pregnancy
PCOS
meds → depo
DM
hyper/hypo thyroidism
surgery
cause of secondary pregnancy she really wants us to know
pregnancy
1st step in work up for primary and secondary amenorrhea
pregnancy test
mc endocrinopathy in females
PCOS
pharm for PCOS
OCAs
metformin
4 screening tests to consider for PCOS
lipids
bp
OSA
DPN
5 meds that cause amenorrhea
antihistamines
antihypertensives
antipsychotics
antidepressants
opiates
all the a’s and an o
female athlete triad
eating d.o
low bone mineral density
amenorrhea
mc pituitary tumor
prolactinoma
pain w. ovulation
mittleschmerz
primary dysmenorrhea is caused by
prostaglandin E2 in menstrual fluid
secondary dysmenorrhea is caused by
pathologic causes → ex endometriosis
how is pain in secondary dysmenorrhea different form primary
it lasts longer than menstrual cycle
tx for dysmenorrhea
NSAIDs →
ibuprofen, naproxen, diclofenac
2 tx for AUB that cause infertility
hysterectomy
endometrial ablation
acute tx for heavy menstrual bleeding in adolescent
estrogen IV or PO
