jan whitefield uterine bleeding case presentation of a bleeding woman in remote alaska
TRANSCRIPT
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
MENORRHAGIADIFFERENTIAL DIAGNOSIS
• Endometriosis• Neoplasia due to fibroids, polyps, hyperplasia,
polyps• Iatrogenic• Anovulatory bleeding due to preimenopause,
adolescence, PCO and hypothalmic dysfunction• Hypothyroidism• Pregnancy
POLYCYSTIC OVARIAN SYNDROMEPCOS
• Clomid• Metformin
IVFIN-VITRO FERTILIZATION
• BCP’s for 1 cycle to shut down ovary• Daily Lupron shots shuts down LH and FSH• Then give estradiol
MONTHLY HORMONE CYCLES
• Follicular and luteal phases of the ovary• Proliferative and secretory phases of the uterine
lining