GYN-Mentrual Abnormalities Flashcards Preview

OBGYN Clerkship > GYN-Mentrual Abnormalities > Flashcards

Flashcards in GYN-Mentrual Abnormalities Deck (32)
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1
Q

what is dysmenorrhea

A

pain and cramping during menstruation taht interferes with normal activity

2
Q

etiology and treamtnet for 1/1 dysmenorrhea

A

inc PGF2 –> uterine contractions

tx NSAIDS and/or OCPs

3
Q

etiologies of 2/2 dysmenorrhea

A

endometriosis, adenomyosis
fibroids
cervical stenosis
pelvic adhesions

4
Q

treatment for cervical stenosis

A

surgical dilation or laminaria

5
Q

what is PMS/PMDD

A

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

6
Q

What is the etiology of PMD/PMDD

A

interaction between 5-HT and E/P

7
Q

How is PMS/PMDD managed?

A

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

8
Q

normal volume of blood loss during normal menses

A

30-50ml

9
Q

MCC menorrhagia

A

heavy flow

cervical or endometrial lesions

10
Q

MCC hypomenorrhea

A

light flow

hypogonadotrophic hypogonasism in athlethes/anorexics

11
Q

what is metrorrhagia? MCC?

A

irregular timing

due to cervical or endometrial lesions

12
Q

what is menometrorrhagia? MCC?

A

heavy and irregular bleeding

due to cervical or endometrial lesionds

13
Q

what is oligionemorrhea? MCC

A

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

anovulation, PCOS, pregnancy, thyroid disease

14
Q

polymenorrhea MCC

A

fast cycles < 3 wks

anovulation

15
Q

DUB? MCC

A

heavy or irregular bleeding without identifiable cause, dx of exclusion

anovulation

16
Q

next step for AUB

A

b-hCG to r/o preg

if > 35 or obese get endometrial Bx + pelvic US

17
Q

AUB 2/2 to ___. Tx?

Fibroids

A

myomectomy vs hysterectomy

18
Q

AUB 2/2 to ___. Tx?

Adenomyositis

A

NSAID/OCP vs hysterectomy

19
Q

AUB 2/2 to ___. Tx?

cervical polyps

A

polypectomy

20
Q

AUB 2/2 to ___. Tx?

endometrial polyps

A

hysteroscopy vs polypectomy +/- D&C

21
Q

AUB 2/2 to ___. Tx?

endometrial hyperplasia

A

progestins vs hysterectomy

22
Q

AUB 2/2 to ___. Tx?

endometrial cancer

A

hysterectomy + BSO + radiation

23
Q

AUB 2/2 to ___. Tx?

ectopic preg

A

MTX vs surgery

24
Q

AUB 2/2 to ___. Tx?

hypothyroid

A

synthroid

25
Q

AUB 2/2 to ___. Tx?

hyperPRL

A

bromocriptine or carbergoline

26
Q

AUB 2/2 to ___. Tx?

anovulation

A

cyclic OCP or progestins

27
Q

treatment for DUB with acute hemorrhage

A

25mg IV estrogen

28
Q

treatment for DUB with chronic hemorrhage

A

NSAIDs + OCPs

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

29
Q

how to define postmenopausal bleeding

A

any vaginal bleeding aftwe 12_ mos after LMP

30
Q

etiologies of postmenopausal bleeding

A
vaginal/endometrial atrophy
exogenous estrogens (MCC)

**must r/o endometrial cancer

31
Q

next steps for post menopausal bleeding

A

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

32
Q

6 etiologies of postmenopausal bleeding

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