Uterine Bleeding Definitions

Question 0

Def of menorrhagia

Answer 0

Normally timed menstrual cycles but excessive bleeding

Question 1

What is the normal length of menstruated cycle and how long does normal bleeding last?

Answer 1

21-35 day cycle; bleeding last 3-5 days

Question 2

5 causes of menorrhagia

Answer 2

1. Fibroids
2. Adenomyosis
3. Endometrial polyps
4. Endometrial hyperplasia/ malignancy
5. Bleeding disorder (ITP, vWF) –> esp in younger pts

Question 3

Def of metrorrhagia

Answer 3

Regular cycles with bleeding between the cycles

Question 4

3 causes of metrorrhagia

Answer 4

1. Cervical lesions
2. Endometrial polyps
3. Endometrial carcinoma

Question 5

Menometrorrhagia

Answer 5

Excessive bleeding (>80mL) at irregular intervals

Question 6

4 causes of menometrorrhagia

Answer 6

1. Fibroids
2. Adenomyosis
3. Endometrial polyps
4. Endometrial hyperplasia/ malignancy

Question 7

Hypomenorrhea

Answer 7

Regularly timed menses with light periods

Question 8

3 causes of hypomenorrhea

Answer 8

1. Hypogonadism ( anorexia, heavy exercise)
2. Contraception use
3. Asherman’s syndrome (intrauterine adhesions)

Question 9

Oligomenorrhea

Answer 9

Periods more than 35 days apart

Question 10

Causes of oligo?

Answer 10

Hyperprolactinemia 
Thyroid dysfunction (hypothyroid)

Question 11

Dysfunctional uterine bleeding

Answer 11

Abnormal bleeding with no identifiable cause

Question 12

MCC of DUB?

Answer 12

Anovulation- without ovulation, there is no corpus luteum and no progesterone, so there is continual proliferation of endometrium until it outgrows blood supply and sloughs off at irregular times