Page 3 of 4: nullipara complains of polymenorrhea

taru · Credits: 317 My Scrapbook

practically D&C is done mainly for diagnostic purpose and it turns out to be therapeutic in most.....

draditithegreat · Credits: 1247960 My Scrapbook

trinity · Credits: 13371 My Scrapbook

I think its D&C, considering teh age factor & as it has already been pointed out that the patient is a nullipara. So the endometrium has been continuously exposed to estrogen, coz the patient is a nullipara. Nulliparity has been mentioned as one of teh causes of CA endomet.

If teh patient has ca endomet...tehn te diagnossi an hence appropriate treatment is delayed for 6 months if we give a trial of OCPs. And if it just due to HPO axis dysfunction, then as someone already pointed out...D&c is therapeutic too.

any commments folks??

trinity

VEDI · Credits: 178 My Scrapbook

hi to all there!
Oral contarceptive pills are relatively contraindicated in women aging more than 35 years old (and if smokers then it is said that at the age of 30 years either stop the pill or quit smoking)

Another thing is that at the perimenopausal age (varies but usually ranges from 43-46 years old) risk of endometrial carcinoma is high and this rises even more if there is a history of polymenorrhea.

as far as i can guess the answer that should be Dilatation & Curettage followed by biopsy to rule out malignancy.

VEDI · Credits: 178 My Scrapbook

also there is a history of nulliparity which also increases the risk of endometrial carcinoma

drkbravva · Credits: 24016 My Scrapbook My Reading List 1 Books

I WILL GO FOR DNC ONLY , I AGREE WITH LAZY...

lazybonezzz · Credits: 54675 My Scrapbook

yeah im pretty sure bout this

avni · Credits: 184 My Scrapbook My Reading List 2 Books

In 42 yr old nullipara with polymenorrhea the next best t/t is D&C.

ratnakar_potla · Credits: 5703 My Scrapbook My Reading List 2 Books

i agree with pos.

>35 no ocps

always a medicine before invasive procedure unless clear cut signs of ca endometrium........ nothing suggestive here

flowerchildn · Credits: 7753 My Scrapbook

seeguys ocps r out coz of age
the women is 42 years perimenopausal so she will be in an estrogen deficient state then pops will not act remember prog acts only of estrogen primed endometrium
hysterectomy is out .shes nulli
d&Cit is -it will be both diagnostic and therapeutic
hope this helped

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