Trigger - menstrual/uterine Flashcards
What is sheehan’s syndrome
postpartum pituitary necrosis 2/2 hypovolemia!!!
leads to HPO axis dysfunction & amenorrhea
congenital absence of the uterus and upper 2/3rd of the vagina is called
mullereian dysgenesis
when do you use chasteberry
PMS/PMDD supplement
when do you use Hormonal contraceptives containing drospirenone
second line tx for severe PMS/PMDD
what needs to be performed with a full bladder
transabdominal ulstrasound
when is hysteroscopy the gold standard
evaluation of dysfunctional uterine bleeding
if you have abnormal prolactin levels in the investigation of secondary amenorrhea what should you order
pituitary imaging
The MCC of a lower GU tract postmenopausal bleed is…
vaginal atrophy
This type of endometrial ablation therapy is NOT able to reach intracaitary lesions but it does have a shorter operatig time and less perforation risk than other 1st gen options
rollerball ablation
This endometrial ablation technique uses a rectoscope with electrical currents to excise strips of endometrium. it has higher rates of perforation than its other 1st gen counterparts
endometrial resection
this endometrial ablation therapy uses uncontained saline solution that is heated and recirculated in the uterus for 10 minutes at a low pressure. it allows direct observation of the endometrium, but has a higher burn risk than other 2nd gen methods
Hysteroscopic thermal
CAN USE W ABNORMAL UTERUS!!!
Which endometrial ablation methods can you use with an anatomically abnormal uterus
- hysteroscopic theramel
- water vapor thermal ablation
which endometrial ablation method MUST have normal uterine anatomy to be effective
- thermal balloon ablation
im assuming most of them! but this one specified that it must be normal!
This endometrial ablation method uses a fan-shaped mesh device that contours to the shape of the endometrial cavity, uses suction to get good contact, and then uses radiofrequency waves through the mesh to desiccate the endometrium
radiofrequency thermal ablation
which endometrial ablation method has been used in patients with small submucosal leiomyomas and polyps
radiofrequency thermal ablation
which endometrial ablation method requires NO endometrial prep
- radiofrequency thermal ablation (novasure)
- thermal + RF thermal ablation (Minerva)
- water vapor thermal ablation (Mara)
this endometrial ablation method uses a silicone device to fill the endometrial cavity with RF-heated argon gas and hot liquid thermal ablation.
Thermal + RF thermal ablation (Minerva)
nodules in the posterior vaginal fornix or uteralsacral ligaments and pain w uterine motion tenderness is suggestive of what
endometriosis
what is the imaging of choice to assess for rectum or rectovaginal septa in endometriosis
TVUS
what is used for treating neuropathic pain in moderate to severe endometriosis
gabapentin
pregablin
TCAs
what is used for mild and moderate/severe tx of endometriosis
two seperate categories
mild - NSAIDS and OCPs
mod/severe - GnRH agonists/antagonists, danazol, aromatase inhibitors
can also use gabapentin, pregablin, and TCAs in mod/severe
cardinal symptom is lower abdominal pain
PID
Classic sign is cervical motion tenderness!
what can specifically aid in reducing the rsk of deveoping PID
barrier contraception
