Week 3.1 - Menstrual issues

Question 1

Discuss some common causes of menorrhagia

Answer 1

• Abnormal clotting (idiopathic thrombocytopenia)
• fibroids
• iatrogenic (copper coil)
• PCOS
• Cancer
• Progesterone contraception
• Obesity

Question 2

What is a fibroid? In who are they more common? Why can it cause menorrhagia?

Answer 2

• Benign tumour of the smooth muscle occuring in myometrium of uterus
• Afro-carribean
• Increased BS to uterus

Question 3

Give the most common causes for amenorrhea

Answer 3

• Pregnancy
• Anorexia Nervosa
• Primary amenorrhea
• Cryptomenorrhea
• Tumous

Question 4

Give some possible causes of primary amenorrhea

Answer 4

• Absent ovaries
• Primary ovarian failure pre-menarche
• Excess prolactin (shuts down HPO axis)

Question 5

What is cyrptomenorrhea?

Answer 5

-Menstruation occurs but it is not visible due to obstruction
eg imperforate hymen, uterine interventions

Question 6

What is the most common cause of irregular bleeding?

Answer 6

-Endometrial pathology eg polyps

Question 7

When is menorrhagia defined?

Answer 7

-Blood loss more than 80mls