Duke PA Amenorrhea, Dysmenorrhea, and Abnormal Uterine Bleeding
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| menstrual pain associated with ovulatory cycles in the absence of pathological findings | show 🗑
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| show | 2-5
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| show | 50-75
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| show | low, midline, wave-like, cramping pelvic pain often radiating to the back or inner thighs
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| menstrual pain for which an organic cause exists | show 🗑
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| show | endometriosis, pelvic inflammatory disease, submucous myoma, IUD use, cervical stenosis with obstruction, or blind uterine horn (rare)
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| polycystic ovary syndrome is a common cause of chronic __ | show 🗑
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| __% of patients with polycystic ovary syndrome have amenorrhea | show 🗑
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| show | 30
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| __% of patients with polycystic ovary syndrome have normal menstruation | show 🗑
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| show | endometriosis
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| the most common cause of secondary dysmenorrhea | show 🗑
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| what is the most widely accepted cause of endometriosis | show 🗑
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| characteristics of endometriosis | show 🗑
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| with endometriosis the pain generally occurs __ days before menses and worsens until flow slackens | show 🗑
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| with increasing duration of endometriosis pain may become __ | show 🗑
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| show | normal
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| show | tender nodules in the cul-de-sac or rectovaginal septum, uterine retroversion with decreased uterine mobility, cervical motion tenderness, or an adnexal mass or tenderness
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| show | laparoscopy
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| show | 12.7
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| menarche usually occurs between the ages of __ years | show 🗑
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| the failure of menarche to appear is called __ | show 🗑
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| evaluation is commenced if at age __ neither menarche nor breast development has occured or if height is in the lowest 3%, or at age __ if menarche has not occured | show 🗑
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| show | hypothalamic pituitary causes, hyperanderogenism, ovarian causes, pseudohermaphroditism, uterine causes, and pregnancy
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| show | FSH, LH, PRL, testosterone, TSH, FT4, and hCG
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| show | secondary amenorrhea
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| show | menopause
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| show | menopause
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| show | pregnancy, hypothalamic-pituitary causes, hyperandrogenism, uterine causes, premaure ovarian failure, and menopause
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| show | pregnancy
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| the period of natural physiologic decline in ovarian function, generally occuring over about 10 years | show 🗑
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| normal age range for menopause in the US is __ | show 🗑
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| average age of menopause in the US | show 🗑
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| show | early pregnancy
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| show | ptiuitary or hypothalamic tumors
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| show | galactorrhea
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| show | hyperandrogenism
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| weakness, psychiactric changes, hypertension, central obesity, hirsuitism, thin skin, ecchymoses may indicate __ | show 🗑
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| weight loss, diarrhea, or skin darkening may indicate | show 🗑
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| show | depression and irritability
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| acute symptoms of estrogen deficiency | show 🗑
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| show | at night
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| vasomotor instability (hot flashes) occur in __% of women in climacteric | show 🗑
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| an elevated hCG overwhelmingly indicates __ | show 🗑
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| show | estradiol
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| the follicle becomes a corpus luteum and has a life span of __ days | show 🗑
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| upon formation the corpus luteum begins to produce __ | show 🗑
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| when the corpus luteum produces progesterone endometrial growth __ and the sroma becomes compact and rich in glycogen | show 🗑
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| if implantation does not occur, the __ involutes and progesterone is withdrawn | show 🗑
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| show | immediate shrinkage of the height of the endometrium, the spiral arteries rhythmically constrict and relax decreasing blood flow, the spongiosum peels away from the basalis layer
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| what is the normal menstrual cycle length | show 🗑
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| what is the duration of menses | show 🗑
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| what is the duration of the follicular phase | show 🗑
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| what is the duration of teh luteal phase | show 🗑
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| show | polymenorrhea
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| show | metrorrhagia
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| show | menometrorrhagia
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| show | oligomenorrhea
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| show | complications of pregnancy, trauma, cancer, benign pelvic pathology, systemic disease, iatrogenic
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| uterus with a fibroid that reaches the level of the umbilicus is described as __ weeks | show 🗑
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| show | empty
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| show | adenomyosis (thickened uterine wall, can be mistaken for fibroids)
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| show | 1st-degree relative has it
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| show | coagulopathy
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