GYN-Mentrual Abnormalities Flashcards Preview

OBGYN Clerkship > GYN-Mentrual Abnormalities > Flashcards

Flashcards in GYN-Mentrual Abnormalities Deck (32)
1

what is dysmenorrhea

pain and cramping during menstruation taht interferes with normal activity

2

etiology and treamtnet for 1/1 dysmenorrhea

inc PGF2 --> uterine contractions

tx NSAIDS and/or OCPs

3

etiologies of 2/2 dysmenorrhea

endometriosis, adenomyosis
fibroids
cervical stenosis
pelvic adhesions

4

treatment for cervical stenosis

surgical dilation or laminaria

5

what is PMS/PMDD

HA, weight gain, dysphoric mood during leuteal phase for 2+ consecutive cycles

6

What is the etiology of PMD/PMDD

interaction between 5-HT and E/P

7

How is PMS/PMDD managed?

SSRIs/SNRIs
alprazolam (xanax)
Yaz (OCP (E + drospirenone)
diet and exercise

8

normal volume of blood loss during normal menses

30-50ml

9

MCC menorrhagia

heavy flow

cervical or endometrial lesions

10

MCC hypomenorrhea

light flow

hypogonadotrophic hypogonasism in athlethes/anorexics

11

what is metrorrhagia? MCC?

irregular timing

due to cervical or endometrial lesions

12

what is menometrorrhagia? MCC?

heavy and irregular bleeding

due to cervical or endometrial lesionds

13

what is oligionemorrhea? MCC

slow cycles (>5wks, for < 6 mos)

anovulation, PCOS, pregnancy, thyroid disease

14

polymenorrhea MCC

fast cycles < 3 wks

anovulation

15

DUB? MCC

heavy or irregular bleeding without identifiable cause, dx of exclusion

anovulation

16

next step for AUB

b-hCG to r/o preg
if > 35 or obese get endometrial Bx + pelvic US

17

AUB 2/2 to ___. Tx?

Fibroids

myomectomy vs hysterectomy

18

AUB 2/2 to ___. Tx?

Adenomyositis

NSAID/OCP vs hysterectomy

19

AUB 2/2 to ___. Tx?

cervical polyps

polypectomy

20

AUB 2/2 to ___. Tx?

endometrial polyps

hysteroscopy vs polypectomy +/- D&C

21

AUB 2/2 to ___. Tx?

endometrial hyperplasia

progestins vs hysterectomy

22

AUB 2/2 to ___. Tx?

endometrial cancer

hysterectomy + BSO + radiation

23

AUB 2/2 to ___. Tx?

ectopic preg

MTX vs surgery

24

AUB 2/2 to ___. Tx?

hypothyroid

synthroid

25

AUB 2/2 to ___. Tx?

hyperPRL

bromocriptine or carbergoline

26

AUB 2/2 to ___. Tx?

anovulation

cyclic OCP or progestins

27

treatment for DUB with acute hemorrhage

25mg IV estrogen

28

treatment for DUB with chronic hemorrhage

NSAIDs + OCPs

if unresponsive, D&C, endometrial ablation or hysterectomy are options

29

how to define postmenopausal bleeding

any vaginal bleeding aftwe 12_ mos after LMP

30

etiologies of postmenopausal bleeding

vaginal/endometrial atrophy
exogenous estrogens (MCC)

**must r/o endometrial cancer

31

next steps for post menopausal bleeding

CBC, TSH, PRL, FSH levels
endometrial bx
pelvic us

32

6 etiologies of postmenopausal bleeding

lacerations
vaginal atrophy (give E cream)
cervical polyps
endometrial polyp
endometrial hyperplasia
endometrial cancer