Abnormal Uterine Bleeding

Question 1

Oligomenorrhea is usually due to what and what is it to begin with?

Answer 1

PCOS, it also means infrequent periods

Question 2

What is Polymenorrhea and what is it due to?

Answer 2

Periods are too frequent, due to a shortened follicular phase

Question 3

What does metorrhagia mean what causes it

Answer 3

Bleeding in between periods, caused by surface lesions like polyps

Question 4

Hypomenorrhea meaning and causes

Answer 4

Scanty menstrual bleeding, in asherman or mirena users

Question 5

Patient TVUS reveals myometrial thickness and a Sunray appearance, what does she have?

Answer 5

Adenomyosis

Question 6

First line investigation for AUB?

Answer 6

Office hysteroscopy

Question 7

If a woman with HMB (commonest cause of AUB) declined a Mirena, what do we give?

Answer 7

Tranexamic acid, NSAIDS, COCP

Question 8

Mirena is first line if the fibroid is less than 3cm in diameter, but what if it’s more?

Answer 8

UAE, myomectomy, hysterectomy, or ID premenopausal, Ulipristal Acetate.

Question 9

Why is Ulipristal Acetate only indicated for some pre menopausal women?

Answer 9

It causes hepatic toxicity

Question 10

Uterine fibroids present as an irregular uterus, what does Adenomyosis present as?

Answer 10

Symmetric enlargement of the uterus

Question 11

“Venetian blind” visible from an abdominal US are indicative of what?

Answer 11

Adenomyosis

Question 12

What is a myomectomy?

Answer 12

Procedure to remove Fibroids.