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MooseSend an Instant Message to Moose  




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Quick Scroll nullipara complains of polymenorrhea 02.07.04 (4 years ago) #1
42 year old nullipara complains of polymenorrhea for past 6 months.
next best stepin management is
a- hysterectomy
b- D and C
c- OCPs
d- POPs
plz give an explanation..
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Quick Scroll 02.08.04 (4 years ago) #2
ans is OCP

1st step in polymenorrhea is Medical treatment with ocp...if it fails then D&C...if it fails last step is hysterectomy
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Quick Scroll 07.28.04 (4 years ago) #3
its said in young its OCP&in perimenopausal itsD&C any comments
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Quick Scroll 08.23.04 (4 years ago) #4
Dear freinds,
what is POP?
Progestine oral pills?

Please, reply.

Sanya
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Quick Scroll 08.23.04 (4 years ago) #5
Quote:
its said in young its OCP&in perimenopausal itsD&C any comments


I agree that in a 42 yr old woman a D&C is more important tha just starting her on OCPs.
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Quick Scroll 08.23.04 (4 years ago) #6
i think its ocp.bc v do giv a trial [medicinal]before going4 dnc.experts?
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Quick Scroll 08.23.04 (4 years ago) #7
ocp in 42 years old lady????????????????????
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Quick Scroll 08.24.04 (4 years ago) #8
sorry its dnc straightaway.bc of age factor.l
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Quick Scroll 08.24.04 (4 years ago) #9
sorry its dnc straightaway.bc of age factor.l
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Quick Scroll 08.25.04 (4 years ago) #10
Ans. D. POPs: progestines.

Ref. Totonto Notes, GY 15, 2004

90%of DUB is due to anovulation. During anovulation cycles, failure of ovulation results of lask of progesterone, thus endometrium is exposed to prolonged unopposed stimulation. This results in endometrial overgrowth with estrogen-dependent breakthrough bleeding. Also, 10% of DUB is due to dysfunction of corpus luteum and inadequate progesterone production or atrophic (i.e.2 degree of OCP) endometrium.

Therefore, treatment with medroxyprogestrone acetate (Provera) 5-10 mg od on first 10-14 days of eacn month will be adequate.

Sanya
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