abnormal menstrual bleeding - jovanavcs

[ArchivalUser]

Can abdominal menstrual bleeding be confirmed ???

[ArchivalUser]

First waht is teh Definition??

[ArchivalUser]

Any one or more of the following:
Are cycles < 21 days?
Are cycles > 35 days?

Next questions to ask ??

Is there intermenstraul bleeding?
Is there heavy bleeding ?

[ArchivalUser]

YES on the questions above..
What youa regoing to order ????


HCG !!!!!!!!!!!!!!!!!!!!!!!!!
Is it positive =MANAGE AS PREGNANCY

[ArchivalUser]

Is the HCG negative ??????

Has the Normal menstrual cycle been LOST ??

What do you do if YES/NO??

[ArchivalUser]

If YES the we will assume what ??
ANNOVULATION an dwe will do WHAT ???
Initiate Progestin Trial-must give enouph, long enouph.....

[ArchivalUser]

Has the Normal menstrual cycle been LOST ??
NO

Ovulation can be confirmed ??
BBT,Progesterone Level,Endometrial Biposy


Yes we confirm the Ovulation >>>pathology suspected : endometrial polyps, submucous myomas >>>>>>>>>>>>>>>LOOK for INtrauterine Lesions >>>>>do D&C Hyetroscopy

[ArchivalUser]

We Initiate Progestin Trial-

Do MENSES NORMALIZE ??
-bleeding stops in 48 h??
-bleedings stays stopped until Progestin finished
-Normal withdrawal bleeding

Of answer si YES to the above qs THEN WE CONFIRMS ANOVULATION :evaluate for UNDRLYING ETIOLOGY RL to r/o PRLnoma, TSH to r/o Hypothyroidism

[ArchivalUser]

We Initiate Progestin Trial-

Do MENSES NORMALIZE ??
-bleeding stops in 48 h??
-bleedings stays stopped until Progestin finished
-Normal withdrawal bleeding

Answer to the above Qs is NO :pathology suspected : endometrial polyps, submucous myomas >>>>>>>>>>>>>>>LOOK for INtrauterine Lesions >>>>>do D&C Hyetroscopy