jan whitefield uterine bleeding case presentation of a bleeding woman in remote alaska

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

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

UTERINE BLEEDINGCASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

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

Page 3: JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

MENORRHAGIADIFFERENTIAL DIAGNOSIS

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

polyps• Iatrogenic• Anovulatory bleeding due to preimenopause,

adolescence, PCO and hypothalmic dysfunction• Hypothyroidism• Pregnancy

Page 4: JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

POLYCYSTIC OVARIAN SYNDROMEPCOS

• Clomid• Metformin

Page 5: JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

IVFIN-VITRO FERTILIZATION

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

Page 6: JAN WHITEFIELD UTERINE BLEEDING CASE PRESENTATION OF A BLEEDING WOMAN IN REMOTE ALASKA

MONTHLY HORMONE CYCLES

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

lining

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