Flashcards in menstrual cycle Deck (25)
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1
in irregular cycles, teh duration of the _____remains constant, and the duration of the ____phase can vary
luteal; follicular
2
normal menstrual cycle is an interval of
21-35 days
3
max number of oocytes at____weeks gestation
16-20
4
follicles will progress only if ____is elevated and ____is low
FSH; LH
5
ovulation occurs ___hrs after LH peak, and ____hrs after estradiol peak
10-12; 24-36
6
time from LH surge to menses is
14 days
7
absence of menstruation for 6 mon
amenorrhea
8
uterine bleeding occuring at regular intervals under 21 days
polymenorrhea
9
cycle frequency of >40 days but under 6 months
oligomenorrhea
10
prolonged ( >7 days) or excessive (>80 ml) uterine bleeding at regular intervals.
menorrhagia
11
cycle length of 2 days or less or also can be a reduction in flow
hypomenorrhea
12
bleeding of variable amounts between regular periods
intermenstrual bleeding
13
bleeding at irregular but frequents intervals of variable amount
metrorrhagia
14
frequent bleeding that is excessive and irregular in amount and duration
Menometrorrhagia
15
what is the most common cause of amenorrhea?
functional
16
most frequent anatomic cause of secondary amenorrhea
asherman syndrome
17
how to assess amenorrhea
progesterone challenge test
18
how to tx hyperprolactinemia
cabergoline or bromocriptine
19
noncyclic blood estrogen that continuously keeps in follicular phase (ovulation does not occur)
anovulatory
20
ovulation occurs but corpus luteum doesn't secret adequate progesterone to support endometrium/pregnancy
luteal phase defect
21
bleeding at the time of ovulation contributed to the sudden drop in estrogen after ovulation
midcycle spotting
22
causes of abnormal uterine bleeding
1. anovulatory
2. luteal phase defect
3. midcycle bleeding
23
tx of abnormal uterine bleeding
1. progestin x 1-14 days OR
2. combo OCP
24
tx of acute heavy abnormal bleeding
1. high dose estrogen and/or progesterone acutely
2. progestin or OCP for management
25
