Flashcards in 2 - Gynae - Menstrual Cycle and its disorders - Postcoital bleeding + Dysmenorrhea Deck (7):
define post coital bleed ?
when, only, is this normal? what must be r'o?
PV bleed post coital that isn't menstrual
must r/o cervical cancer
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
mgmt of PC bleed.
-1 st thing?
-if smear normal?
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
what is dysmenorrhea? ass w high ? in where??? and is due to ? and uterine ?
PG levels in endometrium
due to contraction and uterine ischaemia
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
1' dys - mgmt?
usually responds to NSAIDs or ovulation suppression (COCP)
reassurance in young
pelvic pathology more likely if trt fails