What is the AUB nomenclature for a patient with heavy menstrual bleeding due to polycystic ovary syndrome and von Willebrand disease?
AUB- O, C
AUB - P, C
AUB - P, O
AUB - O, N
What is the most probable cause of AUB in a 45 year old patient complaining of heavy menstrual bleeding, severe dysmenorrhea, and presents with an enlarged, assymmetric uterus on internal examination?
AUB - M
AUB -A
AUB - L
AUB - P
What is the most probable cause of AUB in a 30 year old G2P2 (2002) complaining of heavy menstrual bleeding, and with history of intake of combined oral contraceptive pills?
AUB - E
AUB - C
AUB - I
AUB - N
This is AUB secondary to foreign bodies or trauma:
AUB - N
AUB - O
AUB - E
AUB - C
This is AUB secondary to a low PGF2α/PGE ratio
AUB - C
AUB - E
AUB - N
AUB - O
What is the goal of medical therapy in AUB?
stabilize the endometrium with estrogen that will provide initial hemostasis, followed by progestins for endometrial stability.
Oral contraceptives will immediately thin out the endometrium to provide initial hemostasis
Estrogen is given to slough off the endometrium to stop the bleeding, then followed by progesterone to thicken the endometrium
Progestrone will initiate the coagulation cascade that will provide the immediate hemostasis.
The following medical therapy can be given to a patient with AUB:
NSAIDs
Anti-fibrinolytics
oral contraceptives
all of the above
In women who are bleeding heavily and are hemodynamically unstable, the quickest way to stop acute bleeding is :
high dose progestins
curettage
GnRH agonists
high dose NSAIDs
This is a surgical option offered for women with AUB who has completed family size, and no longer desirous of pregnancy
hysterectomy
myomectomy
polypectomy
curettage