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Adenomyosis
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Amenorrhea
Amenorrhea, the absence of menstruation, can be The evaluation involves…
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Amenorrhea – differentials
Primary Amenorrhea: Secondary Amenorrhea:
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Bacterial vaginosis
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Breast cancer
Risk Factors Screening Clinical features Examination Investigations Triple test…
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Breast Lumps
Common % Mammary Dysplasia 32 Fibroadenoma 23 Cancer 22 Cysts…
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Breast pain (Mastalgia)
– common problem, 50% breast problems in GP, 14% referral…
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Cervical Cancer
Risks Natural history of cervical dysplasia Presentation Management Cervical screening…
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Cervicitis
Possible Causes The most common causes of cervicitis include: Less…
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Contraception
Combined Oral Contraceptive Pill (COCP) Progestin Only Pill (minipill) Implanon-NXT…
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Contraceptive Methods, Bleeding Patterns
1. Normal Menstrual Physiology – the “benchmark” Phase Dominant hormone…
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Dysfunctional uterine bleeding
Term Abnormal uterine bleeding pattern Oligomenorrhea Bleeding occurs at intervals…
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Dysmenorrhea
BPS/ interstitial cystitis IBS irritable bowel syndrome Pelvic floor…
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Dyspareunia
Differential Diagnosis To reach the exact diagnosis of dyspareunia is…
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Endometrial Cancer
Postmenopausal Bleeding = Endometrial cancer until proven otherwise. ABNORMAL VAGINAL…
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Endometriosis
Dysmenorrhoea + menorrhagia + abdo/pelvic pain
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Fibroid uterus (leiomyoma)
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Galactorrhea
Hyperprolactinemia
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HORMONE REPLACEMENT THERAPY (HRT)
BENEFITS RISKS – Reduces bowel cancer – Increased endometrial Ca…
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Incontinence
DIfferentials – DIAPPERS Other conditions to consider include: Red Flags…
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Incontinence (short)
Workup Indications for specialist Treatment “feeling dry, being natural, not…
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Infertility (female)
Etiology of Female Infertility Epidemiology Pathophysiology of Female Infertility Anovulation…
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Interstitial cystitis (IC)/bladder pain syndrome (BPS)
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Menopause/perimenopause
Stages of Menopause: Stopping Contraception at (and after) the Menopausal…
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Mittelschmerz
Definition/Introduction: Issues of Concern: Clinical Significance:
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Ovarian Cancer
Adnexal mass DDx Risk Factors Protective factors Presentation Genitourinary symptoms…
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Ovarian cysts
Ovarian cysts are fluid-filled structures that may be simple or…
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Pagets disease of the nipple
Symptoms pagets eczema Erythematous, scaly, crusty, and thickened plaque-like lesionerythematous…
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Pelvic Actinomycosis
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Pelvic congestion syndrome
Pelvic congestion syndrome (PCS) is a chronic condition characterized by…
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Pelvic floor dysfunction
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Pelvic Pain
Most likely Serious disorders The evil quintuplet Pitfalls
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Polycystic ovarian syndrome (PCOS)
Oligomenorrhoea Definition: Infrequent menstrual bleeding defined as < 9 spontaneous…
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Premature ovarian failure
Causes Clinical presentation Physical examination Diagnosis Tests Management
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Pudendal nerve entrapment
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quick note – contraception
1. Quick-Start & “When Effective?” Table Method Cycle day(s) you…
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UKMEC guide
Category 4 do not initiate or continue; choose a non-hormonal…
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Vaginal thrush
Cause Symptoms Special considerations Diagnosis Treatment advice Principal treatment option…
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Vulval/vaginal disorders
Cervical polyp Valval Dermatoses Vulval irritants Lichen sclerosis Vaginal prolapse…