Oligomenorrhea def. - ANSWER-Infrequent menstruation (more than 35 days but less than 6 months)
Polymenorrhea def. - ANSWER-Frequent menstruation (less than 21 days)
DUB tx: - ANSWER-OCP (first line), definitive treatment is surgical
Dysmenorrhea def. - ANSWER-painful menstruation that aff...
OB/GYN EOR Exam With Complete Solutions Oligomenorrhea def. - ANSWER-Infrequent menstruation (more than 35 days but less than 6 months)
Polymenorrhea def. - ANSWER-Frequent menstruation (less than 21 days)
DUB tx: - ANSWER-OCP (first line), definitive treatment is surgical
Dysmenorrhea def. - ANSWER-painful menstruation that affects normal activities
Primary vs. Secondary dysmenorhea - ANSWER-Primary: not due to pelvic pathology (usually increased prostaglandins) Secondary: due to peliv pathology (endometriosis, adenomyosis, leiomyomas, etc)
Dysmenorrhea tx: - ANSWER-NSAIDs
PMS vs PMDD - ANSWER-PMS: cluster of physical, behavioral, and mood changes with cyclical occurrence during luteal phase AND relieved within 3 days of menses PMDD: severe PMS with functional impairment
When does PMS and PMDD happen? - ANSWER-Luteal phase
When is the luteal phase in relation to menses? - ANSWER-1-2 weeks before menses
PMDD tx: - ANSWER-Drosperinone contained OCP
Amennorhea: primary vs secondary - ANSWER-Primary: failure to menarche (by age 15
with 2ry sex characteristics or 13 without 2ry sex characteristics)
Secondary: absence of menses for more than 3 months in patient with previous menstruation
Most common cause of secondary amennorhea - ANSWER-pregnancy
Menopause def. - ANSWER-cessation of menses for more than 1 year due to loss of ovarian function
Menopause labs: - ANSWER-FSH is most sensitive initial test (increased) Also increased LH and decreased estrogen
Leiomyoma def. - ANSWER-benign smooth muscle tumor of the uterus LIKELY REGRESSES AFTER MENOPAUSE (related to estrogen production)
Leiomyoma dx: - ANSWER-Pelvic US
Leiomyoma tx: - ANSWER-Observation, if sxs ->hysterectomy
Leiomyoma vs Adenomyosis - ANSWER-Leiomyoma: asymmetric, firm, nontender
Adenomyosis: symmetric, soft, tender
Adenomyosis def. - ANSWER-islands of endometrial tissue in the myometrium
Adenomyosis tx: - ANSWER-TAH
Endometritis risk factors - ANSWER-Postpartum, post abortion (C-section is biggest risk)
Endometritis sxs: - ANSWER-fever, tachycardia, abd pain, uterine tenderness after C-
section
Endometritis tx: - ANSWER-After C-section: clindamycin and gentamicin Prophylaxis with cephalosporin during C-section
Endometriosis def. - ANSWER-Ectopic endometrial tissue
Endometriosis risk factors: - ANSWER-nulliparity, family history, early menarche
Endometriosis sxs: - ANSWER-Cyclic pelvic pain, dysmenorrhea, dyspareunia
Infertility, dyschezia
Endometriosis dx: - ANSWER-Laparoscope with biopsy
Chocolate cyst - ANSWER-Endometriosis of the ovary large enough to be considered a tumor
Endometriosis tx: - ANSWER-OCP, conservative laparoscopy, TAH-BSO
Most common gyne malignancy - ANSWER-Endometrial CA
Estrogen dependent cancer? - ANSWER-Endometrial CA
Endometrial CA risk factors - ANSWER-increased estrogen exposure (nulliparity, PCOS, obese,late menopause)
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