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OB/GYN > Tx: Menstruation & Menopause > Flashcards

Tx: Menstruation & Menopause Flashcards

Tx from lectures: - Menstrual cycle - Menopause

1
Q

Dysmenorrhea

A
  • Local heat
  • Vitamin E 500 IU 2 days before and 3 days into menses
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2
Q

Primary dysmenorrhea

A
  1. NSAIDs
  2. OCPs
  3. Smoking cessation
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3
Q

Premenstrual syndrome (PMS)

A
  1. SSRIs - fluoxetine
  2. OCPs
  3. Diuretics - Spironolactone
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4
Q

Premenstrual dysphoric disorder (PMDD)

A
  1. SSRIs - Fluoxetine, buspirone
  2. Exercise, stress management
  3. OCPs
  4. GnRH agonists (Leuprolide)
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5
Q

Menorrhagia - Pharm (6)

A
  1. NSAIDs - Naproxen 500mg BID at bleeding onset x 5 days
  2. OCPs
  3. GnRH agonists (Leuprolide)
  4. Danazol
  5. Conjugated estrogens
  6. Tranexamic acid
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6
Q

Menorrhagia - Procedural (4)

A
  1. D&C
  2. Endometrial ablation
  3. Myomectomy
  4. Hysterectomy
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7
Q

AUB Acute

A
  1. IV estrogen
  2. High dose OCPs
  3. D&C
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8
Q

AUB Anovulatory

A
  1. OCPs
  2. Medroxyprogesterone acetate - if estrogen CI
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9
Q

AUB Ovulatory

A
  1. OCPs - Progesterone PO
  2. Mirena IUD
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10
Q

AUB Surgery

A
  1. Hysterectomy
  2. Endometrial ablation
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11
Q

Primary & secondary amenorrhea

A

Treat underlying cause

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12
Q

PCOS (5)

A
  1. Lifestyle - diet, exercise, weight loss
  2. Insulin resistance: Metformin
  3. Combo OCPs - NO norgestrel or Levonorgestrel
  4. Hirsutism: Spironolactone
  5. Infertility: Clomiphene
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13
Q

Ovarian cysts

A

<6-8 cm: Resolve spontaneously

  1. NSAIDs
  2. repeat pelvic US in 6 weeks
  3. OCPs if recurrent

Ruptured: Assess hemodynamic stability

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14
Q

Ovarian torsion

A

Surgery

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15
Q

Atrophic Vaginitis

A
  1. Supplemental estrogen (PO, transdermal, vaginal)
  2. Vaginal lubricants and moisturizer
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16
Q

Menopause Symptomatic therapies

A
  1. Contraception for 1 year following menopause
  2. Hormone Replacement therapy - estrogen or estrogen+progestin if still have a uterus
  3. Progestogens
  4. Clonidine
  5. SSRIs
  6. SNRIs
  7. Gabapentin
17
Q

Perimenopause Lifestyle mods

A
  • Lifestyle: diet, exercise, screenings (pap, colonoscopy, mammogram)
  • Hot flashes:
    • antidepressants (SSRIs)
    • Soy products
    • Daily exercise
    • Avoid spicy foods, alcohol, and caffiene

OB/GYN (7 decks)

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