Flashcards in 2 - Gynae - Menstrual Cycle and its disorders - Irregular Menstrual and Intermenstrual bleeding Deck (7):
more common when? why? may coexist w? non-mal causes include?
extremes of reproductive age - due to anovulatory cycles being more common
fibroids, ovarian cysts, uterine/cervical polyps, adenomyosis, chronic pelvic infection
Woman should be assessed for? what examination may reveal.....? what Ix is always done?
speculum may reveal cervical polyp
Hb to check effect of BL and fitness
What is taken if required? what must be excluded? USS for who? can also detect what?
>35s w irreg/IM bleeding, and in younger if med trt failed - also detects ovarian mass/fibroids
when is endometrial biopsy used? with what during what?
with pipelle during hysteroscopy
if endometrium thickened, polyp suspected, woman is >40, or if ablative surgery/IUS to be used
MGMT - when drugs appropriate? what are 1st line? effect? limitations?
where no anatomical causes detected - cycles considered anovulatory
IUS or COCP - COCP usually gives regular and lighter menstruation - role of COCP limited as complx more common in older pts
MGMT - what other medical trts are there? how might they help? limitations?
-amenorrhoea BUT bleeding follows after withdrawal - mimic normal menstruation when given cyclically
-may regulate erratic uterine bleeding during menopause