Menstrual Dysfunction Flashcards
1
Q
Primary amenorrhea
A
- No period by age 17
2
Q
Secondary amenorrhea
A
- Had a period, but no longer does
*#1 cause = pregnancy
3
Q
Oligomenorrhea
A
- Cycles >q 35 days
4
Q
Polymenorrhea
A
- Cycles <q>
</q>
5
Q
Menorrhagia (hypermenorrhea)
A
- Heavy bleeding that occurs on a regular basis
6
Q
Menorrhagia (non cyclic bleeding)
A
- Bleeding that occurs whenver it wants
7
Q
Menometrorrhagia
A
- Bleeding all over the place (no cycle to it)
8
Q
Infertility
A
- No conception after one year of unprotected intercourse
*depends on how old the pt. is
9
Q
Causes of abnormal bleeding (Puberty)
A
- Coagulation disorders
- Genetic problems
- Congenital defects
10
Q
Causes of abnormal bleeding (reproductive age women)
A
- Pregnancy
- Premature ovarian failure
- Hormonal or anatomic problems
- Hyperplasia or malignancy
11
Q
Causes of abnormal bleeding (post menopausal women)
A
- Amenorrhea is normal
- Cancer
- Anatomic abnormalities
12
Q
Normal menstrual cycle
A
- Cyclic bleeding
- First day of bleeding is day #1
- Length 21-35 days
- Ovulation is 14 days prior to menses
*if a women has a 21 day cycle, she ovulates on day 7 (14 days prior)
- Normal menses is a hormone withdraw bleed
- Amt of flow varies from woman to woman
13
Q
Organs to consider when presented with menstrual irregularity
A
- Hypothalamus
- Pituitary
- Thyroid
- Adrenal glands
- Ovaries
- Uterus
- Vagina
14
Q
Causes of hypothalamus induced amenorrhea
A
- Stress
- Exercise
*runners may have seasonal variation in menses due to light exposure and melatonin
- Anorexia nervosa
15
Q
Causes of elevated prolactin
A
- DRUGS
- Pituitary tumors
- Nipple stimulation
