Womens Health Flashcards
When does menarche begin?
The onset of menses usually occurs between the ages of 9 and 16 with an average age of 12 years.
How long does it take for reproductive system to become fully functional?
Two years is considered to be how long it may take for the reproductive system to become fully functional following menarche.
What are aspects of Gynecologic History ?
Menstrual history
Age of menarche
Date of last menstrual period
Number of days in cycle and regularity Character of flow
Problems-dysmenorrhea, intermenstrual pain/bleeding Premenstrual symptoms
What is Metorrhagia ?
Menses lasting longer than 7 days
Menstrual flow greater than 80 ml
What is the difference between primary and secondary Menorrhagia?
Primary-result from anovulatory cycles
Secondary-results from other pathology
What is Polymenorrhea ?
Bleeding cycle of
What is Menorrhagia ?
Any irregular, acyclic bleeding from the uterus between periods.
What is Menometorrhagia ?
Irregular bleeding or excessive bleeding during menstruation and between menstrual periods.
What is Amenorrhea ?
Absence of menses:
Primary
Secondary
What is Primary Amenorrhea ?
This diagnosis is made when a woman has reached or exceeded age of menarche and has not started menses of either:
No period by the age of 14 in the absence of growth or development of 2ndary sexual characteristics.
No period by the age of 16 regardless of the presence of normal growth and development with the appearance of 2ndary sexual characteristics.
What is Secondary Amenorrhea ?
This diagnosis is given when menarche has been successful in producing menses and then there is a cessation of menses.
It is the absence of periods for a length of time equivalent to a total of at least 3 of the previous cycle intervals or 6 months of amenorrhea
What is Dysmenorrhea and how is it diagnosed ?
Painful menstruation
CPP: Cyclic Pelvic Pain
CPPD: Cyclic Pelvic Pain and Discomfort
Primary: diagnosed by exclusion when there is no known pathology.
Secondary: underlying pathology acting directly on the pelvic anatomy to cause pain symptoms during menstrual flow (for example, endometriosis)
What are signs of Cyclic Pelvic Pain?
Pattern: starts a few day before to a few days after start of menses.
Mild to severe cramping in the lower abdomen is most usual.
Pain in back or down thighs.
Associated symptoms: GI upset, low backache, headache, syncope and fatigue
How is Cyclic Pelvic Pain characterized?
Suprapubic Crampy Spasmodic Dull ache or a stabbing feeling Starts at or soon after menarche (6-12 months) Lasts 28-72 hours May start with menses or a few hours prior. Most severe in first or second day Systemic symptoms occur in 50%
What are differential diagnosis for Cyclic Pelvic Pain?
Endometriosis PID Pelvic infection Fibroids Adenomyosis Cervical stenosis and polyps Fibroids, myomas Inflammation, scarring Congenital abnormalities Presence of an IUD Chronic pelvic pain Functional ovarian cyst Benign or malignant tumors MS, GI, and UT pathology Asherman’s syndrome (adhesions) IBS
