Please enable JavaScript.
Coggle requires JavaScript to display documents.
gyn_menorrhagia (fibroid (benign smooth muscle tumour/leiomyoma) 25%…
gyn_menorrhagia
-
v hormone
-
-
-
Mirena 5 years (levonorgestrel-relaseing intrauterine system) (first 6 months intermenstrual bleeding) v perserve fertility
investigations
-
-
ES (pipelle), hysteroscopy
-
physical examination
(pallor, tachycardia) general
-
(speculum, bilateral examination) vaginal
differential diagnosis
functional
dysfunctional uterine bleeding (ovulatory, anovulatory)
structual
myometrium
fibroid (submucosal), adenomyosis
endometrium
ca endometrium/hyperplasia, polyp, endometritis
-
systemic
endocrine
exogenous steroid, Cushing's disease, hypothyroidism
coagulopathy
anticoagulant, vWF disease, ITP
surgery
-
myomectomy (uncontrolled bleeding need hysterectomy, recurrence, pelvic adhesion/tubal patency, next pregnancy: 6 months later, Caesarian section, uterine rupture) (intramural: laproscopic) (submucosal: hysteroscopic)
-
-
-
-
-