JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA.

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JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

Transcript of JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA.

Page 1: JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA.

J A N W H I T E F I E L D

UTERINE BLEEDINGCASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

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HORMONE INTERACTIONS

• E1, E2, E3: Estrone, Estradiol, Estriol• Ethinyl estradiol• Premarin: pregnant mare’s urine concentrate• Menstrual cycle hormone fluctations• Ovulation kit• Endometriosis• IVF• Treatments

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MENORRHAGIADIFFERENTIAL DIAGNOSIS

• Endometriosis• Neoplasia due to fibroids, polyps, hyperplasia,

polyps• Iatrogenic• Anovulatory bleeding due to preimenopause,

adolescence, PCO and hypothalmic dysfunction• Hypothyroidism• Pregnancy

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POLYCYSTIC OVARIAN SYNDROMEPCOS

• Clomid• Metformin

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IVFIN-VITRO FERTILIZATION

• BCP’s for 1 cycle to shut down ovary• Daily Lupron shots shuts down LH and FSH• Then give estradiol

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MONTHLY HORMONE CYCLES

• Follicular and luteal phases of the ovary• Proliferative and secretory phases of the uterine

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