Gyn & Obs: DDx

Question 1

DDx for amenorrhoea

Answer 1

Primary
1. Genetics (i.e. Turner’s, Testosterone insensitivity)

Secondary

1. Pregnancy***
2. Hypo/Hyperthyroidism
3. Premature menopause
4. Prolactinoma/Hypothalamic tumours
5. PCOS
6. Cushing’s
7. Drugs/Steroids
8. Anorexia nervosa
9. Psychological stresses/Excessive exercises.

Question 2

Third trimester bleeding

Answer 2

Obstetrical

1. Preterm delivery
2. Abruptio Placentae - - - - PAIN!
3. Placenta previa – - - - - - NO PAIN!
4. Vasa previa
5. Uterine rupture

Non-Obstetrical

1. Trauma/Abuse
2. Coagulopathy
3. Drugs (Cocaine)
4. Cervical Polyp/cervicitis