heavy menstrual bleeding Flashcards
1
Q
aetiology of HMB
A
fibroid endometrium polyps coagulation disorder PID thyroid ds drug therapy:warfarin IUCD endo/cervical CA
2
Q
ix
A
FBC coagulation screen Pelvic USS high vaginal and endo swabs endo biopsy
3
Q
medical tx
A
mefenamic acid,NSAID tranexamic acid COCP norethisterone(progesterone) LNG-IUS GnRH agonists-goserelin,buserelin
4
Q
associated symptoms and related pathologies
A
irregular bleeding-endometrial or cervical polyp
excessive bleeding,fam hx of bleeding d/s-coagulation ds
unusual vaginal discharge-PID
urinary sx-pressure from fibroids
weight change,skin changes,fatigue-thyroid
