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Reproductive Physiology, Endocrinology, and Infertility

Question
21 out of 56
 

A 45-year-old female presents with polymenorrhoea for 6 months. On examination nothing abnormal was found. Which of the following is the next best line of management (LQ)



A Give progesterone for 3 cycles

B Give OCP for 3 cycles

C Dilation and curettage

D Hysterectomy

Ans. C

Dilation & curettage

1. Poly menorrhea - or epimenorrhea, the menstrual cycle is reduced from the normal of 28 days to a cycle of two to three weeks and remain constant at that frequency.

2. Treatment - Dilation and curettage is a most effective short term method of controlling uterine bleeding longer term treatments will generally be directed towards the cause of the abnormal uterine bleeding

a. DUB due to chronic anovulation is treated with cyclic progestin therapy with OCP

b. Severe and intractable bleeding of a dysfunctional nature may rarely require hysterectomy

Reproductive Physiology, Endocrinology, and Infertility Flashcard List

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