menstrual disorders

Question 1

what is menorrhagia

Answer 1

dysfunctional uterine bleeding

Question 2

risk for females in IVF

Answer 2

ovarian hyperstimulation syndrome

Question 3

what is ovarian hyperstimulation syndrome

Answer 3

when given high dose gonadotrophins in IVF

enlarged ovaries and excess follicles

Question 4

what is a cause of menorrhagia with no underlying cause/pathology

Answer 4

dysfunctional uterine bleeding

Question 5

2 types of dysfunctional uterine bleeding

Answer 5

anovulatory - most common

ovulatory

Question 6

risk factor for anovulatory

Answer 6

obesity

Question 7

risk factor for ovulatory

Answer 7

35-45 (inadequate progesterone from corpus luteum)

Question 8

presentation of dysfunctional uterine bleeding

Answer 8

heavy and prolonged periods
dysmenorrhoea
symptoms of anaemia
pallor

Question 9

investigations which rule out other causes of menorrhagia

Answer 9

pregnancy test
FBC
thyroid function
smear
STI screen

Question 10

what can a transvaginal ultrasound look for

Answer 10

ectopic pregnancy
fibroids and polyps
endometrial thickening

Question 11

treatment of dysfunctional uterine bleed

Answer 11

progestogens 
COC
gnrh anologues 
NSAIDs
mirena IUS
surgery