1
Q
Causes of primary amenorrhoea
4 Causes
A
Turner’s Syndrome (XO)
Testicular Feminisation
Congenital Adrenal Hyperplasia
Congenital Malformations of the Genital tract
2
Q
Causes of secondary amenorrhoea
7 Causes
A
Hypothalamic (Stress and exercise) PCOS Hyperprolactinaemia Premature ovarian failure Thyrotoxicosis/ Hypothyroidism Sheehan's Syndrome Asherman's Syndrom
3
Q
Initial investigations for secondary amenorrhoea
A
Pregnancy Gonadotrophins (If low, think hypothalamic. If high, think ovarian) Prolactin Androgen Levels (PCOS) Oestradiol Thyroid function tests
4
Q
Causes of hirsutism
A
PCOS cushing's syndrome Congenital Adrenal Hyperplasia Androgen therapy Obesity Adrenal tumour Androgen secreting ovarian tumour Drugs : Phenytoin
5
Q
Bulky uterus and longstanding menorrhagia. Awaiting TVUS
Management?
a) IUS B)GnRH Agonist c) Aspirin d) tranexamic acid e) COCP
A
Tranexamic
Even though sounds like fibroids, need to visualise anatomy before putting in the IUS
6
Q
Stage I and II Endometrial carcinoma.
First line management
A
TAH + BSO
7
Q
Stage IIb endometrial carcinoma
Management?
A
Wertheim’s radical hysterectomy
