Card Set Information
Menstrual Disorders PHPR524 Test6
What is dysmenorrhea?
Crampy pelvic pain starting shortly before or at onset of menses typically lasting 1-3d
What sets PMDD apart from PMS?
At least 5 of the following must be present
markedly depressed mood
marked affective lability
marked anger or irritability
decreased interest in activities
changes in appetite
feelings of being overwhelmed
One of the symptoms must be markedly depressed mood, anxiety, irritability, or affective lability
Sx interfere significantly with work and/or social relationships
What is the tx for PMDD?
SSRI continual or luteal dosing (DOC)
Venlafaxine continual or luteal dosing
What is the tx for dysmenorrhea?
NSAIDs (DOC, esp Naproxen and Ibuprofen)
MPA depot or Levonorgestrel IUD
What are the sx of endometriosis?
chronic pelvic pain (cyclic or acyclic)
GI or urinary disturbances
low back pain
cul-de-sac or uterosacral ligament tenderness
adnexal enlargement or tenderness
pelvic mass (lesions or cysts)
What is the tx for endometriosis?
GnRH agonists (leuprolide)
What are the monitoring parameters for clomiphene?
Basal body temp
Follicular growth and endometrial thickness
What are the SE of clomiphene?
Ovarian Hyperstimulation Syndrome (OHSS)
When should clomiphene be started for infertility?
Day 5 of the cycle