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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

tx of choice in women with acute heavy abnormal bleeding with hypovolemia

dilation and curretage with hysterecopy