Menstrual Disorders Flashcards
(27 cards)
Menorrhagia
Prolonged + increased menstrual flow
Mettrorrhagia
Regular intermenstrual bleeding
Polymenorrhoea
menstruation occurring at <21 day intervals
Polymenorrhagia
Increased bleeding + frequent cycle
Menometrorrhagia
Prolonged menses + intermenstrual bleeding
Amenorrhoea
Absence of menstruation > 6 months
Oligomenorrhoea
Menstruation at intervals >35 days
Organic causes of menstrual disorder
PATHOLOGY e.g. Fibroids Pelvic inflammatory disease Polyps Endometriosis Malignancy Endocrine disorder- diabetes, thyroid disease, adrenal disease, prolactin disorders Drugs - anticoagulants
What is the most common cause
Dyfunctional uterine bleeding (non-pathological)
What subgroups of dysfunctional uterine bleeding (DUB) is there
Anovulatory
Ovulatory
Which type of DUB is more common
Anovulatory
Which type of DUB has a irregular cycle
Anovulatory
Describe the periods in ovulatory DUB
Regular + heavy
What causes ovulatory DUB
Inadequate progesterone production by corpus luteum
Anovulatory DUB occurs in which women
Obese women
Extremes of reproductive life
Which age group does ovulatory DUB affect
35-45 year olds
Investigations of DUB
FBC Cervical smear TSH Coagulation screen Renal + liver functions Transvaginal USS Endometrial sampling
How is the diagnosis of DUB made
By exclusions
Non surgical management of DUB
Progestogens Combined oral contraceptive Danazol GnRH analoges NSAIDS Mirena IUS
What is danazol
Synthetic steroid
Surgical management of DUB
Endometrial ablation
Hystrectomy
What is required after endometrial ablation
Regular smear test
combined HTR
What is required after hysterectomy
Oestrogen only HRT
No smear tests
What is removed in radical hysterectomy
Complete removal of uterus, cervix + upper vagina
