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Anovulation LH surge(NO) Multiple follicles Follicle Get older(larger & thinner) Cysts Progesterone (low) No secretory changes
Vagina No intermediate cells -ve spinnbarkeit No endometrial secretory chnages
CUPS 10 /10
C Cortex (10 follicles + 10 mm )
U Uterine hyperplasia e D&C P Pearly white e laprascope
Treatment
Infertility Menstrual Changes Cause CP Male (Androgens) (Acne Hirsutism Seborrhea) Pathological
Cause:
Ovarian axis (local) FSH (HMG) Adrenal Androgens & Aromatase defect (Link) Diane Obesity &DM (Sys) Metformin
Complications
Local
Ovary axis (poly cystic) Drilling Uterus Endometrial carcinoma hystrectomy or D&C Tracts Bleeding COC Alertness,Body built ,colors & decubitus obesity & acnthosis Vital Data temp not cyclic (anovulation) Other Organs DM & IHD
Sys
Link
Trichomonas
Cause
Trichomonas vaginalis STD
CP
Frothy & profuse Discharge Pain & post coital bleeding Straw berry vagina
Papanicalou culture Wet mount
Invs
Metronidazole
TTT
CP
Severly Itchy Malodorous & Curds Discharge Sever inflamm Bleeding upon removal of curds
PH <4.5(acidic) Hyphae (KOH) Sabaraud agar (gram +ve) Ketoconazole + local Mycostatin Avoid predispos Treat husband
Curds
Invs
TTT
Hyphae
Clue cells
CP
Invs
Thin Creamy
TTT
Wiff test
Clue cells
Endometriosis
Marylin Monroe
Cause Cancer Like Sampson (retrograde mensis) Metaplasia Hematogenous Spread Marylin Monroe Pain (cyclic) and all over (Dysuria-Dyspareunia) Infertility Menstrual symp
CP
Chocolate cyst
Complication
Invs
TTT
Burnt Powder
Note
MC site Ovary
Umbilicus Nose
Leiomyoma
Cause
Fibroblast origin & Smooth Ms origin 20 % of females 40 years aged 80%(77%) hystrectomy found Reproductive age (can be in post meno!!?)
CP All or none
Asymp Most common Pain all types ( Spasmodic ischemic ..etc) Menstrual symp all types (contact menorrhagia metrorrhagia) Infertility & recurrent abortion(sub mucous)
Pressure (obstrcuted labour Uropathy Rupture uterus Pelvic congestion (leucorrhea)) Pathological Traumatic (Red degeneration (pregnancy) ( Myxomatous degen (post menopausal) (calcification (woumb stone) & Vascular (torsion & telangiectasia) & Infalmmatory & Metabolic (polycythemia) & Malignant Complicatio (leiomyosarcoma & Pseudo meigs) ns Prolapse may lead to chronic inversion Radio US X ray CT IVP HYCOSY Lab CBC RFT Interventional Hysteroscope D&C (for endomerial hyperpalsia) laprascope
Invs
TTT
Acc to age & parity & site Surgical No No You should know No surgery small mass & large patient (old) & asymp No Myomectomy Numerous profuse (bleeding)- malignant post menopause You should know : anemia correction and minimal manipulation & bonnie hood Medical Red degenration mainly medical NSAIDS red needs rest - Danazole Anemia correction
Note
Note
Cervical type
Four % Faster Failure of Myomectomy Why Narrow space & richest in blood X corporeal ..may be parasitic & pedunculated
Pregnancy Bleeding
Any Time
General causes
Gynecologic
Vesicular Mole
Miscarriage
Ectopic Pregnancy
DIC
APH
IPH
PPH
Open OS Painful
Closed OS No Pain
Amniotic embolism
Placenta (abruption)
Vasa Previa
Placenta (previa)
Continouation or Beginning
Placnta Accreta
In Evitable
Septic
Threatened
Missed
Painful Sudden
Painless Recurrent
Conservative Resusc Rest (No sex) Pain (valium) Pad No Prog (masking effect) No PV
Dead fetus
Evacuation
Viable fetus
Hgic Shock (tachycardia ) Septic Shock (bradycardia)
Complication Maternal Pressure above amniotic Below bleeding Sides Shocks Complication Fetal presentation
Continuing pregnancy Complete separation of conceptus Occur e any type vaginal fresh blood
Early
Ectopic
Vesicular
MC cause Chromosomal
Complications Abnormal Sites ovarian (Spiegelberg) in ovary & ovary tissue in & tube intact & in ligament
Abortion
Spontaneous 20 %
Iatrogenic
1st trim
1st trim
2nd trim
2nd trim
Complications
Fetal abnormalities
IUGR IUFD Preterm labour Cong malformation Pre eclampsia Placenta Previa Poly hydraminos Pyelo nephritis
Maternal
labor
1st PROM 2nd Prolonged 3rd Post partum Hge
Clinical types of
Palcenta previa
Minor Lateralis Marginalis Major Partial Complete central Revealed Concealed Mixed Recurrent & induced Complete & incomplete DD of abortion Metropathia hemorrhagica (ameno then bleeding) Membranous dysmenorrhea Note both ve pragnacy test Un disturbed Acute Chronic Mole complete & incomplete Invasive Malignant (metastatic & Non)
Accidental hge
Rare abortion
Ectopic
Vesicular
Termination Types
Ceserian better e previa D&C (better in abortion) Suction (better in septic abortion & Vesicular mole) (due to soft uterus)
Diagnosis
US HCG Progesterone
CBC RH
Bleeding in woman
Either
Local genital
Child FB Young Pregnancy complications Old Endometrial cancer till proved otherwise
MC atrophic vaginitis
General Hormonal
DUB (not due to local or general) D Dys hormonal U uterine prostaglandins B Bills
Hormonal
Unopposed oestrogen (Anovular) Schroeder Threshold
Types
Oligo No. Hypo amount
Metro Regularity
DUB
Ovular Schroeder Continuous Ovary Growth & func Amenorrhea then bleeding Painless Profuse bleeding Anovular Halban Early Degeneration Amenorrhea then bleeding Painful Mild bleeding