O+G Workbooks

Ovarian Hyperstimulation Syndrome

Subfertility

Miscarriage types

usually IVf, but also clomiphene

Severe: Rapid wt gain, clots, pain N+V, SoB

Low LH,FSH, Low Oe

WHO 2: PCOS usually. Tx metformin +- clomiphene

WHO1: Hyperthalamic pituitary failure.

Causes

Cancers

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Fibroids: Intramural, subseral, submucosal.

Fitz curtis hughes (Adhesion liver)

Adhesions

Polyps- irregular, inter cycle bleeding, heavy

WHO3 Ovarian Failure

Amenorrhoea

Hypergonadism (HIGH LH, FSH). as no feedback from hypoestrogenism

(Under 40). usually idiopathic. autoimmune, turners

Inevtiable- open cervical os

Threatened: ^bleeding and pain abnormal

Recurrent is 3+. Ix for APL, POC, USS, thrombophilia

Missed/silent: anembryonic

Cervical Screen: Cells are investigated for squamous metaplastic epithelium

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Endometrial: Persistant post-menopause bleed is Endo Ca until proven otherwise!!! USs the biospy if over 5mm

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Pre-eclampsia. >20 wks

Eclampsia Pre+ seizures

HELLP Syndrome: Haemolysis, elevate liver enzymes, low platelets

Stages of Labour

2 Birth

3 Placenta

1: dilation, a show, regular contractions and water

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