Menstrual Disorders Flashcards Preview

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Flashcards in Menstrual Disorders Deck (11):
1

Dysmenorrhea is pain of menstruation.

OH. Primary in kids

2

Frequent bleeding?

Metrorrhagia (think like a metronome)

3

Irregular periods that are very heavy think what?

Anovulatory. It just builds and builds until it lets down

4

Regular heavy periods what is differential?

Fibroid, adenomyosis, polyps

5

Who gets endometrial biopsy?

Over 45 and abnormal bleeding

Extended period of time with abnormal bleeding

6

Depression, constipation and abnormal uterine bleeding?

THINK HYPOTHYROID

7

Hemodynamically unstable from bleeding tx?

Intrauterine tamponade

You can do curettage

IV HIGH DOSE ESTROGEN to regrow it
with that you need antiemetic

8

Most common cause of abnormal bleeding?

Anovulatory cycle

9

Diagnosis of PCOS needs 2 of 3 things

Anovulation or oligoovulation
Androgen excess
Polycystic ovaries on US

10

Cancer risk with PCOS?

Endometrial cancer: lots of estrogen constantly stimulated, BUT NEVER progesterone from ovulation

11

Most important thing as a provider to do for PCOS?

give progesterone to prevent endometrial cancer

OCPs are first line treatment after exercise and weight loss

Metrofmin helps

Clomiphene helps get pregnant