Repro 5 Flashcards
when is routine cervical screening offered in Scotland
every 3 years 25-49
every 5 years 50-64
if smear shows signs of inflammation, what is the next steps?
repeat in 6 months
- colposcopy if 3 abnormal smears
if smear is borderline/mild dyskariosis, what are the next steps?
if -ve for HPV – back to routine screning
if +ve referral for colposcopy
if smear shows severe dyskariosis/suspected invasion, what are the next steps?
urgent colposcopy referral (within 2 weeks)
stains used in colposcopy
acetic acid
lugol’s iodine
what is the most common cause of post menopausal bleeding
atrophic vaginitis
pathophysiology of atrophic vaginitis
lack of oestrogen support for the vaginal epithelium
symptoms of atrophic vaginitis
post-menopausal woman
- vaginal dryness
- pain during sex
- spotting after sex
- frequent UTI
symptoms of pelvic inflammatory disease
constant lower abdomen pain purulent discharge pain during sex irregular bleeding adnexal tenderness
most common cause of pelvic inflammatory disease
ascending infection from endocervix
- chlamydia
- gonorrhoea
treatment of mild pelvic inflammatory disease
oral ofloxacin + metronidazole 14 days
treatment of moderate pelvic inflammatory disease
IM ceftriazone + oral dozycycline + oral metronidazole 14 days
what is endometriosis
presence of endometrial tissue outside of the uterus
symptoms of endometriosis
painful periods
pain during sex
chronic pelvic pain
endometriosis on USS
chocolate cysts
diagnostic for endometriosis
laparoscopy
tx endometriosis
NSAIDS combined oral contraceptive mirena coil danazol - synthetic steroid surgical - laparoscopic ablation/ hysterectomy
tender vulval abscess, unilateral vulval swelling, dyspareunia
most likely?
bartholin abscess
medical management of menorrhagia
tranexamic acid
mirena coil
combined pill
GnRH analogues
what drugs can shrink fibroids
GnRh agonists - lupron
what is premenstrual syndrome
distressing physical, behavioural + psychological symptoms occurring in the LUTEAL phase of menstruation
symptoms of premenstrual syndrome
depression anxiety irritability bloating mastalgia increased appetite
blood results menopause
High FSH + LH
low oestrogen
