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9 Cards in this Set
- Front
- Back
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1. Menorrhagia
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a. Excessive and/or prolonged uterine bleeding w/a regular menstrual cycle.
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2. Metrorrhagia
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a. Irregular uterine bleeding between menstrual cycles.
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3. Menometrorrhagia?
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a. Irregular uterine bleeding w/excessive and/or prolonged flow.
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4. Workup of pt w/Dysfunctional uterine bleeding?
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1. First: Pregnancy test.
2. Check Hb a. The degree of anaemia helps to categorize the severity of bleeding and helps guide management. |
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5. Mild bleeding, Hb?
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a. >12.
b. May be managed w/iron supplements and with careful f/u. |
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6. Moderately severe bleeding Hb?
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a. 9-12
b. Treatment: Iron and Monophasic OCP. |
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7. Severe bleeding HB?
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a. <9.
b. May need hospitalization and transfusion. c. IV oestrogen (Premarin) and high-dose oral contraceptives are used until bleeding stops. d. Further bleeding despite measures may require D&C. |
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8. For how long are OCPs continued for dysfunctional uterine bleeding?
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a. 3-6 months.
b. After the menstrual cycle is regular and irregular bleeding has ceased, careful withdrawal of the OCP may be attempted w/close f/u. |
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9. For how long should iron supplementation be continued?
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a. For 2 months after the anaemia has resolved.
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