NR 602 WEEK 5 WOMEN’S HEALTH STUDY GUIDE(LATEST UPDATE)

NR 602 WEEK 5 WOMEN’S HEALTH STUDY GUIDE What are some of the diagnostic tools available to assist in diagnosing abnormal uterine bleeding? (7) History Physical exam Cytologic exam Pelvic U/S Endometrial Biopsy Hysteroscopy Dilatation and Curettage Anovulation - Ovaries do not release an egg Abnormal/Dysfunctional Uterine Bleeding- What is the treatment in adolescents for dysfunctional uterine bleeding? 1. Exclude preg with physical exam, pelvic u/s and blood tests. 2. Conjugated estrogens every 4-6 hours for 14-212days controls bleeding. Once bleeding has stoped medroxyprogesterone can be given for 7-10 days 3. OCs-3-4 times usual dose are effective; cyclic therapy 3-6 monthly courses are given List and define the 7 patterns of abnormal uterine bleeding. 1. Menorrhagia (hypermenorrhea)-is heavy or prolonged, presence of clots may signify excessive bleeding. 2. Hypomenorrhea (cryptomenorrhea)-light flow, sometimes only spotting. 3. Metrorrhagia (intermenstrual bleeding)-occurs at any time between menstrual periods. 4. Polymenorrhea-periods occur too frequently 5. Menometrorrhagia-occurs at irregular intervals. Amount and duration vary. Sudden onset of irregular bleeding may indicate malignant tumors or complications of pregnancy. 6. Oligomenorrhea-periods that occur more than 35 days apart. Amenorrhea is diagnosed if no period occurs for more than 6 months. 7. Contact bleeding (postcoital bleeding) considered a sign of cervical cancer until proven otherwise. All Menstrual Cycle Phases- Menstrual cycle has three phases • Menstrual phase • Proliferative phase • Secretory phase ↑ Progesterone The Ovulatory Phase of the menstrual cycle occurs in the middle of your menstrual cycle. An increase in the luteinizing hormone (LH) level causes the mature follicle to burst and release the egg, usually around day 14. This is what is commonly called ovulation