The Menstrul Cycle (by Medcomic)
- Ovarian Cycle
- Follicular Phase
- Ovulation
- Luteal Phase
- Menses
- Uterine Cycle
- Proliferative Phase
- Secretory Phase
The Menstrual Cycle (by Medcomic) Enhanced
- Ovarian Cycle
- Follicular Phase
- Ovulation
- Luteal Phase
- Menses
- Uterine Cycle
- Proliferative Phase
- Secretory Phase
Dysfunctional Uterine Bleeding
- Bimodal Age Distribution
- Painless Vaginal Bleeding
- Amenorrhea
- Menorrhagia (Heavy Menstrual Bleeding)
- Metrorrhagia (Bleeding Between Menses)
- Balloon Thermotherapy
- Hormone Medications
- Dilation and Curettage (DandC)
- Monitor for Anemia
Uterine Leiomyoma (Fibroids) Characteristics and Presentation
- Most Common Gynecologic Tumor
- Benign Smooth Muscle Tumor
- Early Menarche
- Hormone Sensitive
- African Americans
- Abnormal Menses
- Infertility
- Urinary Symptoms
- Irregularly Enlarged Uterus
Menopause Symptoms
- HAVOCS Mnemonic
- Hot Flashes
- Atrophy of Vagina
- Osteoporosis
- Coronary Artery Disease (CAD)
- Sleep disturbances
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
Tamoxifen
- Selective Estrogen Receptor Modulator (SERM)
- Antagonist on Breast Tissue
- ER-positive Breast Cancer
- Decreased Risk of Osteoporosis
- Increased Risk of Endometrial Cancer
- Increased Risk of Venous Thromboembolism (VTE)
Raloxifene
- Selective Estrogen Receptor Modulator (SERM)
- Agonist in Bone
- Antagonist in Breast and Uterus
- Osteoporosis
- Breast Cancer Prophylaxis
- Uterine Fibroids
- Hot Flashes
- Thromboembolism
Endometritis
- Postpartum Endometritis
- Cesarean Birth
- Fever
- Uterine Tenderness
- Acute Endometritis
- Neutrophils
- Pelvic Inflammatory Disease (PID)
- Chronic Endometritis
- Plasma Cells
- Idiopathic
- Gentamicin + Clindamycin
- Ampicillin-Sulbactam
Endometriosis
- Endometrial Tissue Outside Uterus
- Retrograde Menstrual Flow
- Dysmenorrhea
- Cyclic Pelvic Pain
- Irregular Vaginal Bleeding
- Pain with Defecation
- Dyspareunia
- Medications to Decrease Ovulation
- NSAIDs
- Surgery
Endometriosis Characteristics
- Endometrial Tissue Outside of Uterus
- Glands and Stroma
- Most Common in Ovary, Pelvis, Peritoneum and Bowels
- "Chocolate Cyst" in Ovary
- Adenomyosis
- Retrograde Flow
- Metaplastic Transformation
- Mullerianosis
Endometriosis Symptoms and Treatment
- Dysmenorrhea
- Cyclic Pelvic Pain
- Dyschezia
- Dysuria
- Dyspareunia
- 30-40% are Infertile
- Surgery
- NSAIDs
- OCPs
- Progesterone (Progestins)
- GnRH Agonists
Endometrial Hyperplasia
- Unopposed Estrogen
- With or Without Atypia
- Postmenopausal Vaginal Bleeding
- Amenorrhea
- Menorrhagia
- Metrorrhagia
- Short Menstrual Cycles
- Transvaginal Ultrasound
- Progesterone
- Endometrial Carcinoma