Menstruation Flashcards
1
Q
What disease should also be worked up when considering PMS/PMDD symptoms?
A
Hypothyroidism
2
Q
How would you confirm that bilateral oophorectomy would help with a patient’s resistant PMS/PMDD?
A
Administer course of GnRH agonist to initiate menopause-like state
3
Q
Which SSRI would help with PMDD?
A
Fluoxetine
4
Q
Risk factors for PMS
A
Family history of PMS
Obesity
Poor diet
5
Q
What age PMS more common?
A
30s
6
Q
What to do if suspect adenomyosis?
A
Pelvic ultrasound and/or MRI
Definitive diagnosis made histologically after hysterectomy
Treatment: OCP or progestin-releasing IUD; hysterectomy if needed
7
Q
What are fertility treatments for PCOS?
A
First-line: Weight loss (to decrease peripheral conversion of androgen to estrogen in adipose tissue)
Second-line: Letrozole - aromatase inhibitor
