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Reproductive Physiology, Endocrinology, and Infertility

Question
33 out of 56
 

In puberty menorrhagia the incorrect statement is (LQ)



A Associated with anovulatory bleeding

B Endometrial biopsy confirms diagnosis

C Routine screening for bleeding disorder

D Hormone and Haematonics are given

Ans. B

Endometrial biopsy confirms diagnosis

1. Puberty menorrhagia is mostly due to anovular cycles resulting in deficiency of progesterone that leads to poorly supported and structured endometrium that bleeds.

2. Invasive procedure is strictly contraindicated. If the teenager gives h/o sexual activity then a urine pregnancy test is a must even in the absence of preceding amenorrhoea to r/o pregnancy and its complications.

3. It is also a part of the protocol to r/o bleeding disorders especially if menorrhagia follows an episode of viral illness or if it occurs at the onset of puberty.

4. The treatment is with hormones and hematinics to prevent anaemia. Irregular ripening and shedding of endometrium are types of ovulatory DUB which can also lead to puberty menorrhagia.

Reproductive Physiology, Endocrinology, and Infertility Flashcard List

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