8 Flashcards
complications of LEEP
infection
cervical stenosis
bleeding
preterm delivery
IUD strings not there and hook failed! next step?
physteroscopy
find adnexal mass..next step?
pelvic US
endocervical polyp
benign and common in women 40-50s
spotting and bleeding btwn periods
definitive treatment for pelvic pain due to endometriosis
hysterectomy BSO
Mullerian agenesis
XX
uterus and cervix absent
Nl ovaries and 2 sex characteristics
renal anomalies
chadwick’s sign
bluish color of cervix from increased blood flow
indicative of pregnancy
how does anorexia lead to amenorrhea?
Hypothalamus-pituitary dysfunction
reason behind post part hair loss
estrogen during pregnancy makes hair grow more and shed more
post-delivery, hair shedding can last up to five months
hyperthecosis
more severe form of PCOS
high T, virlization symptoms
how does progesterone give you your period
connects proliferative to secretory phase
and then progesterone withdrawal leads to menses
therapy for fibroid for women over 35 who smokes and wants to have future kids
hysteroscopy and myomectomy
how do OCPs decreased menstrual pain
progestins cause endometrial atrophy, so less prostaglandins are produced in the endometrium
what should you do for any woman over 40 with irregular bleeding?
endometrial biopsy to rule out cancer
amount of calcium supp. for postmenopausal women
1200 mg
treatments for hot flashes during menopause
estrogen- lowest dose, shortest amount of time
HRT causes increased risk for what type of cancer
breast
hormone therapy effect on lipid profile and mechanism
LDL decreases
HDL increases
estrogen–> increased triglycerides, LDL catabolism, inhibit hepatic lipase
what level on t scores should you valuate risk factors for fracture
-1 to -2.5
what do you do to image infertility after PID?
hysterosalpingogram
what hormone levels are helpful to diagnose PCOS
testosterone
LH/FSH
risk factors for PMS
family history
vit B6, Ca, Mg deficiency
risk factors for molar pregnancy
asian
prior miscarriages
less folic acid and beta carotene
how long should women wait to get pregnant again after molar pregnancy
after hcg levels normalize to prevent spontaneous regression
