2 - Gynae - Menstrual Cycle and its disorders - Postcoital bleeding + Dysmenorrhea Flashcards Preview

CP2 > 2 - Gynae - Menstrual Cycle and its disorders - Postcoital bleeding + Dysmenorrhea > Flashcards

Flashcards in 2 - Gynae - Menstrual Cycle and its disorders - Postcoital bleeding + Dysmenorrhea Deck (7):
1

define post coital bleed ?
when, only, is this normal? what must be r'o?

PV bleed post coital that isn't menstrual
first intercourse
must r/o cervical cancer

2

aetiology of PC bleed
-when is cervix more likely to bleed after mild trauma?
-3 things accounting for most cases?
-3 other poss causes?

- when not covered in healthy squamous epithelium
- cervical ectropions, benign polyps, and invasive cervical cancer
-vaginitis, cervicitis, vaginal wall bleeding, usually if atrophic

3

mgmt of PC bleed.
-1 st thing?
-if polyp?
-if smear normal?
if not?

inspect cervix and take smear

if polyp - avulse and send for histo, normally w'o anaesthesia

if smear normal - ectropion can be frozen w cryotherapy

if not - colposcopy done to r'o malignancy

4

what is dysmenorrhea? ass w high ? in where??? and is due to ? and uterine ?

painful menstruation
PG levels in endometrium
due to contraction and uterine ischaemia

5

difference between 1' and 2' dysmenorrhea?

1' - no organic cause found, usually at start of menstruation and v common (50%, 10% severe) esp in adolescents.
2' - due to pelvic pathology. often before and is relieved by menstruation. Deep dyspareunia and HMB/IMB common

6

1' dys - mgmt?

usually responds to NSAIDs or ovulation suppression (COCP)
reassurance in young
pelvic pathology more likely if trt fails

7

2' dys - mgmt?

USS and laparoscopy useful
most significant causes:
-fibroids, adenomyosis, endometriosis, PID and ovarian tumours - trt these

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