5: Menstrual disorders Flashcards Preview

Reproduction Week 1 2018/19 > 5: Menstrual disorders > Flashcards

Flashcards in 5: Menstrual disorders Deck (49)
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1

What are the two important gonadotrophins?

FSH

LH

2

Where are FSH and LH produced?

Posterior pituitary gland

3

In the first 12 days of the menstrual cycle, which hormones

a) stimulate development of ovarian follicles

b) trigger ovulation?

a) FSH

b) LH

4

What hormone is produced by the corpus luteum?

Progesterone

5

How long does an average menstrual cycle last?

28 days

6

Which hormone, produced in the proliferative phase of the menstrual cycle, stimulates thickening of the endometrium?

Oestrogen

7

Why does menstruation occur?

Endometrium outgrows blood supply

8

How long does menstruation last?

4 - 6 days of 28 day menstrual cycle

9

When does peak menstruation occur?

Days 1 - 2 of menstruation

10

Menstruation should be (light / heavy).

light

< 80ml

11

Menstrual loss should not contain ___.

clots

12

What is menorrhagia?

Prolonged, increased menstrual bleeding

13

What is metrorrhagia?

Regular intermenstrual bleeding

14

What is amenorrhoea?

No menstruation for > 6 months

15

What is oligomenorrhoea?

Menstruations more than 35 days apart

16

What is polymenorrhoea?

Menstruations less than 21 days apart

17

In the context of menorrhagia, what is dysfunctional uterine bleeding?

Non-organic menorrhagia

No organic cause or pathology

18

What is meant by a local cause of organic menorrhagia?

Limited to genital tract

19

What is the usual causal organism of pelvic inflammatory disease?

What structures does it tend to affect?

Chlamydia

Fallopian tubes

20

Which malignancies commonly cause menorrhagia?

Cervical carcinoma

Uterine carcinoma

21

Which specific lining of the uterus may develop carcinomas?

Endometrium

22

What is endometriosis?

Growth of endometrial tissue OUTWITH the uterus

23

Which hormone, which thickens the endometrial lining in the uterus, does endometriosis grow in response to?

Oestrogen

24

Organic causes of menorrhagia can be ___ or ___.

local or systemic

25

What endocrine disease notably causes amenorrhoea and menorrhagia?

Hyperprolactinaemia

26

systemic causes of amenorrhoea

27

Why can liver disease cause menorrhagia?

Damaged liver doesn't produce as much clotting factors

28

Which class of drug, used to treat cardiovascular disease, may cause menorrhagia?

Anticoagulants e.g warfarin, NOACs

29

Which abnormal pregnancy outcomes may cause menorrhagia?

Miscarriage

Ectopic pregnancy

Molar pregnancy

30

Dysfunctional uterine bleeding is a diagnosis of ___.

diagnosis of exclusion