Week 3.1 - Menstrual issues Flashcards
1
Q
Discuss some common causes of menorrhagia
A
- Abnormal clotting (idiopathic thrombocytopenia)
- fibroids
- iatrogenic (copper coil)
- PCOS
- Cancer
- Progesterone contraception
- Obesity
2
Q
What is a fibroid? In who are they more common? Why can it cause menorrhagia?
A
- Benign tumour of the smooth muscle occuring in myometrium of uterus
- Afro-carribean
- Increased BS to uterus
3
Q
Give the most common causes for amenorrhea
A
- Pregnancy
- Anorexia Nervosa
- Primary amenorrhea
- Cryptomenorrhea
- Tumous
4
Q
Give some possible causes of primary amenorrhea
A
- Absent ovaries
- Primary ovarian failure pre-menarche
- Excess prolactin (shuts down HPO axis)
5
Q
What is cyrptomenorrhea?
A
-Menstruation occurs but it is not visible due to obstruction
eg imperforate hymen, uterine interventions
6
Q
What is the most common cause of irregular bleeding?
A
-Endometrial pathology eg polyps
7
Q
When is menorrhagia defined?
A
-Blood loss more than 80mls
