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Notes in
04_Menstrual Disorders
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Published
02/10/2024
Range of Menstrual Disorders include {{c1::Frequency, Disturbance of menstrual frequency}} {{c1::Regularity, Irregular menstrual bleeding}} {{c1::Dura…
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02/10/2024
Criteria of Heavy Menstural Bleeding {{c1::Amount and Frequency: Bleeding > 80ml over 7 days}} {{c1::Changing: The need to change menstr…
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02/10/2024
Causes of Heavy Menstrual Bleeding Remembered as {{c1::PALM COEIN}} {{c1::Polyp}} {{c1::Adenomyosis}} {{c1::Leiomyoma & Fibroid}} {{c1::Malig…
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02/10/2024
{{c1::Dysfunctional Uterine Bleeding}} is a {{c2::common disorder of excessive uterine bleeding affecting premenopausal women that is not due to pregn…
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02/10/2024
In Dysfunctional Uterine Bleeding, common causes of HMB (PALM COEIN) are excluded and usually the underlying cause is due to {{c1::ovar…
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02/10/2024
Most Common Investigation of Menstrual Disorders (Fibroids, Endometriosis, Endometrial Polyps) is via {{c1::Ultrasound}}
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02/10/2024
{{c1::Endometrial biopsy}} is done for all women aged {{c2::≥ 44}} with heavy menstrual bleeding resistant to medical treatment
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02/10/2024
Hormonal Treatments for Menstrual Disorders {{c1::Mirena IUS}} {{c1::COCP}} {{c1::POP}} {{c1::Deport provera}}
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02/10/2024
Non-Hormonal Medical Treatments for Menstrual Disorders {{c1::Mefenamic acid}} {{c1::Antifibrinolytic, Tranexemic acid}} {{c1::GnRH analogue}}
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02/10/2024
Non-Hormonal Surgical Treatments for Menstrual Disorders {{c1::Endometrial ablation}} {{c1::Endomyometrial resection (EMR)}} {{c1::Removal of Fibroids…
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02/10/2024
Management of Dysfunctional Uterine Bleeding is {{c1::6 months of GnRH therapy}}
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02/10/2024
First-line Management of Small Fibroids (<3 cm) +/- HMB is {{c1::Mirena coil}}Other Options Include: {{c1::COCP}}, {{c1::POP}}
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02/10/2024
Management of Large Fibroids (>3 cm) with desired Fertility is {{c1::Embolisation}} or {{c1::Myomectomy}}
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02/10/2024
Management of Submucosal Fibroids is {{c1::Hysteroscopic fibroid resection}}
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02/10/2024
Management of Fibroids if declined/failed treatment without desired fertility is {{c1::Hysterectomy}}
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02/10/2024
Medical Approach to Endometriosis is {{c1::Hormonal Therapy (COCP, POP, Mirena)}}
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02/10/2024
Surgical Approach to Endometriosis is {{c1::Ablation}} or {{c1::Hysterectomy}}
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02/10/2024
Surgical Management of Adenomyosis is via {{c1::Hysterectomy}}
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02/10/2024
Surgical Management of Endometrial polyps is via {{c1::Polypectomy}}
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