Y2-08 Gynaecology

Question 1

 what is a regular menstrual cycle 

Answer 1

Having the same length of time between menses

Question 2

If you have a menses every 15 days every cycle is that considered regular

Answer 2

Yes. Although not ideal for other reasons still classed as regular

Question 3

Name four things that are needed to be considered a regular menses

Answer 3

1.Had same time. Between each mense
2. Controlled consistent flow
3. Asymptomatic!!!!! (Most important)
4, clear and concise start and stop.

Question 4

If a woman says everything else about her period is good but she gets killer PMS what question do you ask her next?

Answer 4

Ask when does the PMS come and how does it manifest. Because that PMS is a symptom of an imbalance

Question 5

What day is considered day one in Menses cycle

Answer 5

First day of red bleeding

Question 6

What if the period starts slowly with brown spotting? Is this classified as day one(new cycle) ?

Answer 6

No. It is not classified as a new cycle until it turns red

Question 7

What if the period comes at 2 PM is that day one?

Answer 7

 no. The next day is day one. if it comes at 10 AM then that’s day one

Question 8

What other things do we need to pay attention to when it comes to you menses 

Answer 8

Colour and temperature

Question 9

Oestrogen and pro oestrogen are low to enable the uterine lining to shed during which days of the cycle

Answer 9

Between days 1 to 5

Question 10

What does the pituitary gland(yintang) Start to produce and why?

Answer 10

It starts to produce FSH and LH to stimulate growth of the new follicles 

Question 11

What is FSH and LH? And when does the pituitary gland start to produce it?

Answer 11

FSH= follicle stimulating hormone
LH = luteinizing hormone 
This happens around day five

Question 12

What do the follicles become?

Answer 12

The follicles become eggs and there’s approximately between 3 and 30 eggs

Question 13

When does oestrogen start to rise again and why?

Answer 13

Oestrogen starts to rise on day 7.

one of the follicles evolves and start to produce oestrogen and that stimulates your uterine lining and makes fertile mucus and thickens up again

Question 14

What days are continuing high oestrogen activity on the pituitary gland to stimulate it to produce a surge of LH and what does this do?

Answer 14

Days 12 to 13 and it matures the dominant follicle

Question 15

What happens on days 15 to 25

Answer 15

Corpus luteum forms from the empty follicle and produces progesterone

Question 16

What does the Progesterone do then?

Answer 16

It stimulates the endometrium to secrete nutrients inhibits the pituitary gland from producing more FSH/LH it stops the process and switch and turns into the next stage which is ovulation( the egg is released)

Question 17

What happens after ovulation?

Answer 17

After ovulation the egg pops out of the follicle and that follicle forms the corpus luteum which literally means yellow body

Question 18

What does the corpus luteum produce

Answer 18

Progesterone which stops all the rest of your follicles to continue to grow and stimulates the endometrium to produce nutrients

Question 19

Day 25 to 28 corpus luteum dies causing what to drop

Answer 19

Progesterone and oestrogen

Question 20

What happens when the progesterone and oestrogen drop in levels

Answer 20

This causes the endometrium to disintegrate and the period starts. And then pituitary gland is stimulated to produce FSH and LH to start to ripen the next batch of follicles

Question 21

What is considered a regular cycle

Answer 21

Between 27 and 34 days

Question 22

How long is the luteal phase

Answer 22

Should always be day 10 to 16 days long to be considered fertile

Question 23

What does prolong spotting mean during the luteal phase

Answer 23

Progesterone deficiency progesterone should maintain the endometrium lining until just a couple of days before

Question 24

What does prolong follicular phase indicate

Answer 24

It indicates oestrogen/ FSH deficiency

Question 25

What is the luteal phase mean

Answer 25

The time from ovulation until menstrual bleed

Question 26

True or false 
when oestrogen(LH) is high in the beginning that’s good

Answer 26

True

Question 27

What is a BBT chart used for

Answer 27

A basil body temperature chart can be useful for understanding a patient’s hormone cycle

Question 28

What is a BBT used for

Answer 28

A BBT is a concise data collection method for all physical changes that occur through the menstrual cycle

Question 29

How is a BBT created

Answer 29

By taking oral temperature each morning after waking but before getting out of bed

Question 30

What is the follicular phase average temperature

Answer 30

36.3 to 36.4  Celsius