Uterine Bleeding

Question 1

What is irregular menses that alternate light/heavy and occur every 6-8 weeks?

Answer 1

Anovulatory bleeding/ovulatory dysfunction (AUB-O); treatable with progestins

Question 2

What coagulopathy may become apparent with heavy menstrual flow shortly after menarche?

Answer 2

von Willebrand disease

Use ristocetin cofactor test to work up

Question 3

Presentation of endometrial polyp

Answer 3

Increasingly heavy menses with spotting between periods; cramping pain

Question 4

AUB PALM-COEIN acronym?

Answer 4

Polyp
Adenomyosis
Leiomyoma
Malignancy/hyperplasia

Coagulopathy
Ovulatory dysfunction
Endometrial
Iatrogenic
Not classified

Question 5

What is Asherman syndrome?

Answer 5

Intrauterine adhesions - scar tissue after surgery of uterus or dilation and curettage

Question 6

What is a side effect from etonogestrel implant (Nexplanon)?

Answer 6

Irregular spotting/bleeding

Question 7

Progestin IUD specifically shouldn’t be used in…

Answer 7

Breast cancer
Acute liver disease or tumor
Levonorgestrel allergy