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14 Cards in this Set
- Front
- Back
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Normal menses:
Basic functional components: -Hypothalamus. -Pituitary. -Ovaries. -Uterus (endometrium). Normal parameters: -Normal cycle interval = ________________. -Duration of menstrual flow of ≤ _____days. -Average blood loss: <80 mls. -Regular/cyclic/predictable bleeding. |
28 days + or – 7 days (21-35 days)
7 |
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Which phase is the less regulated phase (variable)?
which phase has a set time period? |
follicular (1-13)
luteal (14-28) |
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the luteal phase requires ...
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ovulation
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Normal menstrual endocrinology:
-... peaks day 14. -... is slightly increased day 14 and day 27-28. -... peaks day 12-13. -Progesterone peaks day 18-22, then falls. -Inhibin increased in ... phase. |
LH
FSH Estradiol luteal |
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... uterine bleeding is a subset of ... uterine bleeding
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dysfunctional
abnormal |
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AUB Terminology:
-Hypermenorrhea/menorrhagia - prolonged (>7d) or excessive (>80mls) bleeding at ... intervals. -Metrorrhagia – increased frequency (<21d) of bleeding at ... intervals. -Polymenorrhea – increased frequency (<21d) of bleeding at ... intervals. -Oligomenorrhea – decreased frequency (>35d) of bleeding (will be ... ). |
regular
irregular regular irregular |
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What are the 3 things that must be on your ddx with AUB?
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pregnancy, cancer, infection
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DUB is a term that specifically refers to irregular bleeding due to ....
The bleeding abnormalities associated with DUB are due to ... breakthrough bleeding. |
anovulation
estrogen |
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If you find someone with leiomyomata (fibroids) and they are not symptomatic, do you need to treat them?
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no
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Leiomyomata (fibroids):
Do not require treatment if asymptomatic. Medical treatment: -Limited response to tx with OCPs /NSAIDS. -Good response to tx with ... (lupron) but not a long-term solution. (will be painful for 3 weeks) ... if desire to preserve fertility. ... is definitive therapy. Uterine artery embolization is alternative for those desiring to avoid surgery. |
GnRH agonist
Myomectomy Hysterectomy |
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Polyps:
-Polyps protruding through the cervix can be removed in the office with ring forceps. -Intrauterine polyps can be removed via operative .... Adenomyosis: (abnormal bleeding and painful periods are often due to this) -Confirmation of diagnosis requires histopathologic examination of the uterus. -Limited response to medical therapy. -Definitive treatment is via .... |
hysteroscopy
hysterectomy |
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Endometrial hyperplasia:
-Medical therapy with high-dose ... appropriate for simple hyperplasia without atypia when avoidance of surgery is desired. -... is definitive therapy and is preferred when hyperplasia is persistent, recurrent, complex, or when atypia is present. |
progestin
Hysterectomy |
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What are the 1st line treatments of DUB? (4)
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weight reduction if indicated
NSAIDS hormonal contraceptives progestins |
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What are the 4 etiologies that are associated with anovulation?
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obesity, PCOS, adrenal hyperplasia, and Cushing’s syndrome
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