Term
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Definition
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Term
|
Definition
| reduction in the # of d or amnt of menstrual flow |
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Term
|
Definition
| frequent bleeding; q21d or less |
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Term
|
Definition
| irregular menstrual bleeding or bleeding btwn periods |
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Term
|
Definition
| prolonged or xs bleeding that occurs on regular intervals |
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Term
|
Definition
| frequent bleeding that is xs and irregular in amount and duration |
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Term
| bleeding that occurs from a proliferative endometrium as a result of anovulation & the absence of any organic tissue: |
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Definition
| Dysfunctional Uterine Bleeding |
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Term
| uterine bleeding which occurs during chronic admin of exogenous estrogen at constant levels: |
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Definition
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|
Term
| occurs following acute cessation of constant exposure to estrogen: |
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Definition
| estrogen withdrawal bleeding |
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|
Term
| bleeding as a result of withdrawal of either endogenous or exogenous progesterone: |
|
Definition
| progesterone withdrawal bleeding |
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Term
| period when ovaries begin failing to respond to LH/FSH |
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Definition
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|
Term
| period when ovaries no longer respond to LH/FSH |
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Definition
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|
Term
| Estrogen afect on endometrium: |
|
Definition
|
|
Term
| progesterone affect on endometrium: |
|
Definition
| maturation; stops proliferation |
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|
Term
| what happens when progesterone reaches high levels? |
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Definition
|
|
Term
| describe the theca cell/granulosa cell relationship: |
|
Definition
| LH stimulates theca cells to produce androgens, granulosa cells convert androgen to estrogen in ovaries |
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Term
| rapidly rising estrogen stimulates which phenomenon? |
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Definition
|
|
Term
| ovulation is indicated by the: |
|
Definition
| LH surge when follicle ruptures |
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|
Term
| painful menstruation that prevents a woman from performing normal activities: |
|
Definition
|
|
Term
| common age group for dysmenorrhea: |
|
Definition
| late teens early twenties |
|
|
Term
| prostaglandin affects on uterus: |
|
Definition
| intense smooth muscle contraction |
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|
Term
| primary/secondary etiology of dysmenorrhea: |
|
Definition
primary: xs prostaglandins
secondary: (1) endometriosis; (2)adenomyosis; (3)adhesions; (4)PID; (5)Leiomyomata (fibroids) |
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Term
|
Definition
| endometrium invades the uterine muscle |
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Term
|
Definition
|
|
Term
| primary tx for dysmenorrhea: |
|
Definition
1. contraceptives
2. NSAIDs (inhibit prostaglandin syn) |
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|
Term
| syndrome w primary sx: emotional lability, abd bloating, fatigue |
|
Definition
|
|
Term
| which phase of the cycle does PMS occur? |
|
Definition
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Term
|
Definition
| SSRIs due to serotonin component |
|
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Term
|
Definition
1. aerobic exercise/NSAIDs
2. SSRIs
3. oral contraceptives |
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|
Term
| more severe form of PMS also caused by serotonin dysregulation |
|
Definition
| premenstrual dysphoric syndrome |
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|
Term
| tx for premenstrual dysphoric disorder: |
|
Definition
1. SSRIs
2. Yaz (only 4day progesterone withdrawal) |
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|
Term
| non-cyclical endometrial bleeding unrelated to anatomical lesions of the uterus, pregnancy or systemic dz: |
|
Definition
| dysfunctional uterine bleeding |
|
|
Term
| cause of dysfunctional uterine bleeding: |
|
Definition
1. extremes of reproductive life
2. PCOS
3. Obesity
4. Adrenal hyperplasia |
|
|
Term
| the very first menstrual cycle is known as |
|
Definition
|
|
Term
| etiology for dysfunctional uterine bleeding in menarche: |
|
Definition
| immature HPA axis feedback |
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Term
|
Definition
| continuous E production w/o E surge = no LH surge = no ovulation |
|
|
Term
| how does obesity lead to anovulation |
|
Definition
| fat cells produce estrogen leading to continuous elevation of E and no LH surge |
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Term
|
Definition
| anovulatory management: 400mg progesterone q night x7-10d, withdrawal initiates bleed. after 3-6mo tx then cycles may spontaneously establish. if no bleeding after withdrawal = uterine scaring |
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|
Term
| absence of menses by age 13 wo secondary sexual characteristics or absence of menses at 15 w secondary sex characteristics |
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Definition
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|
Term
| 3 causes of primary amenorrhea: |
|
Definition
1. vaginal agenesis (absence)
2. androgen insensitivity syndrome
3. turners syndrome (missing an X csome) |
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|
Term
| most common cause of secondary amenorrhea: |
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Definition
|
|
Term
| how would hyperprolactinemia affect menses? |
|
Definition
| amenorrhea via GnRH suppression. |
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|
Term
| most common cause of hyperprolactinemia: |
|
Definition
| prolactinoma - pituitary tumor |
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Term
|
Definition
| scaring of the uterine cavity: may b due to D&C... causes amenorrhea |
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