Womens Health- AUB

Question 1

Normal Menses

Answer 1

-every 28 days +/- 7 days
-21-33 day cycle
-avg duration 4 days
-no more than 7 days

> 7 days is abnormal

Avg blood loss:
-35 to 50 cc per cycle
-95% women not heavy bleeders
- >80 cc or more is abnormal
—-hard to evaluate with different devices
*ask what type of fem products using

Question 2

Menorrhagia

Answer 2

-Prolonged bleeding at regular frequency
- > 7 days or > 80 cc but pt has reg freq
-very common
- up to 14% of women who are healthy otherwise

Question 3

Metrorrhagia

Answer 3

-breakthrough bleeding between periods
-May be accompanied by:
*Mittelschmerz
-pain that occurs w/ ovulation
OR
*Anovulation
-PCOS and lining sheds irregularly

Question 4

Menometrorrhagia

Answer 4

Prolonged uterine bleeding that is occuring at irregular intervals
- spots every day or bleed q3-4 days
-bleeding w/ intercourse or heavy exercise

May not be ovulating thats causing irregularity

Question 5

Oligomenorrhea

Answer 5

reduction in freq of menses
- not menstrating every month in a predictable pattern

Question 6

Amenorrhea

Answer 6

-no menses for at least 3 to 6 months

Primary: never had a menses ever
-structural problem (imperforate hymen, missing ovaries,etc.)

Secondary: no menses for 3-6 months after reg cycle has been established

*cant have secondary in 1st 2 years of menarch; very common to be irregular 1st couple years and not established

Question 7

Hypomenorrhea

Answer 7

reduction on number of days
- usually s/e of medication (BC)

Question 8

Menarche

Answer 8

age of first menstruation
-Avg 12 yrs but getting younger

Question 9

Menopause

Answer 9

absence of cycles for 12 months
-avg 51 yr

*Menstrual bleeding stops:
- NSAIDS decrease prostaglandin/bleeding
——prost. can cause contractions and expulsion bleeding

-Endometrial healing and cessation of bleeding also occur when estrogen levels rise