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6 Cards in this Set

  • Front
  • Back

What is Heavy Menstrual Bleed?

Blood loss >80ml per period

Etiology of Heavy Menstrual Bleed

-Fibroids


-Adenomyosis


-Endometrial polyps


-Endometrial Ca


-Cervical Ca


-Coagulopathy


-Thyroid disorder


-IUD


-PID

Ix done for HMB

-FBC


-Coagulation Profile


-TVUSS


-High vaginal and Endocervical swab


-EB

Indication for EB or outpatient hysteroscopy

-Women age 45 and above with hx of IMB,PCB,PMB


-Tx failure


-Prior ablation technique


-PMB and Endometrial thickness on TVUSS >4mm

Name the apparatus and its indications

-Outpatient hysteroscope set


Indications


-Endometrial biopsy attempt fails


-EB sample insufficient for HPE assessment


-Inconclusive TVUSS


-Abnormality on TvUSS

Mx of HMB

-LNG-IUS


-Transxemic Acid/Mefenanic acid


-COCP


-Progestrogens


-Endometrial ablation


-Hysterectomy or Uterine Artery Embolization for fibroids