PMB counselling Flashcards
1
Q
In post menopausal bleeding, what do we always assume?
A
Endometrial Ca unless proven otherwise
2
Q
Most common PMB cause
A
atrophic vaginitis
3
Q
Endometrial Ca management (diagnosis)
A
TV US + Biopsy
4
Q
Endometrial Ca Tx
A
TAH w/bilateral salpingo oopherectomy
5
Q
What do we give to atrophic vaginitis
A
HRT
Lubricants + moisturisers
6
Q
PMB HPC
A
- What happened and when?
- Provoked?
- Associated pain or other symptoms?
- Happened before?
7
Q
PMB hx RFs
A
- BMI
- age of menarche
- age of menopause
- use of OCP/HRT
- parity
- breastfeeding
- Tamoxifen use
- personal history of oestrogen-dependent cancers
- family history of oestrogen-dependent cancers
- history of PCOS
8
Q
PMB Ix steps if endometrial suspected
A
USS (++ thickness) –> hysteroscopy + biopsy
9
Q
Reassurance on PMB counselling
A
- cancer feared most
- only 1 in 10 women have it
- plenty other causes (atrophic vaginitis most common)
