define group III ovulation disorders
ovarian failure
mennorhagia management
COC IUD - mirena tranexamic acid POP mefenamic acid
define heavy menstruation
> 80ml/ cycle
factors influencing management of placental abruption
- gestation
- age
- amount of bleeding
- general condition of mother
describe penile papules aka cornal papillae
skin coloured small dome-shaped papules located on glans penis, commonly arranged circumferentially in one/ several rows
requirements for abortion
- 2 doctors
- <24 weeks
describe vasectomy
vas deferens divided and end cauterised
define lactogenesis 3
maintenance of milk production
methods for induction of labour
- vaginal prostaglandin pessaries
- cook balloon
- amniotomy
describe placental abruption
haemorrhage resulting from premature separation of placenta before birth of baby
potential side effects COC
- breast tenderness
- heavier periods
- mood change
- weight gain
- nausea
- headache
- irregular bleeding
- DVT/ PE
- MI/ stroke
when is labour not advised
- obstruction to birth canal
- malpresentations
- medical conditions
- specific previous labour complications
presentation endometriosis
- very painful periods
- menorrhagia
- pain during and after sex
- lower back pain
- painful bowel movements/ urination
- abnormal bleeding
- diarrhoea
- N+V
- bloating
where can turtles breath from
mouth and bum
presentation of lactating adenoma
- enlarging masses during lactation or pregnancy
- prominent secretory changes
cause of normal menstruation
lining sheds when there isn’t a fertilised egg to maintain corpus luteum which produces progesterone
surgical treatment of menorrhagia
- endometrial ablation
- hysterectomy
iatrogenic causes of heavy menstrual bleeding
- anticoagulants
- herbal supplements e.g. soya
- IUD
risks associated with PCOS
- decreased bone density
- infertility
- diabetes
- cardio disease
- endometrial hyperplasia
management puerperal/ postpartum psychosis
admittance to psychiatric hospital, preferably one with mother baby unit
urinary incontinence investigations
pelvic exam bladder scan urinary diary urinalysis urodynamics (only if surgical management is contemplated)
describe duct ectasia
clogged and inflamed milk ducts
