MENO-PAUSE

MENO-PAUSE=
HAVOC:
H OT FLASH
A TROPHY-->
V AGINA
O STEO-POROSIS
C AD

P RE-ECLAMPSIA

P RE-ECLAMPSIA
P LACENTA= CAUSE
P RIMI-GRAVIDA
PMH--> PROBLEM
P RESSURE B/
P ITTING EDEMA
P ROTEIN- URIA

CONTRA-CEPTIVES

CONTRA-CEPTIVES:
1.CoC
ESTROGEN-->FSH decrease
PROGESTERN--> LH decrease=
NO OVULATION
L H-->OVU
L ation

2.PoP NON STOP
MUCUS change ONLY-DD. 1

3. MORNING AFTER PILL=
ESTROGEN ONLY
4.IMPLANT NOR-GESTREL~
PROGESTERON--> 5y!

ENDOMETRIAL&OVARIAN CA decrease

GONADAL DRUGS

GONADAL DRUGS:
1. GnRH AGONIST=
LEUPROLIDE
GONADO-RELIN
-PULSE--> /FSH & LH
-CONTINUOUS-->FSH&LH decrease--> PROSTATIC CA

2.CLOMI-PHEN=
REMOVES ESTROGEN
FEED-BACK--> /FSH&LH-->
SO used in IVF

3. DANAZOL-->FSH&LH decrease
-->ENDO-METRIOSIS

4. MENO-TROPIN ~FSH
MENO-PAUSE WOMEN
UR INE
UR oFolin
~CLOMIPHEN USE+
hCG ~ LH

ROS BREAST: NIL MALT

N IPPLE dis-charge / blood
I NVERSION - NIPPLE
L UMP

M ONTHLY BSE
A SSYMETRY
L AST MAMMO-GRAPHY
T ENDER

Ob & Gyn Hx: BOARDS PALM PCx 3

B LEEDING PV
O NSET / END - men-arche/pause
A BNORMAL ITCHING
R EGULAR PERIODS
D ISCHARGE
S TD


P REGNANCIES
A BORTIONS
L MP
M ISCARRIAGES

P AIN-FUL INTERCOURSE
P AP SMEAR+ XR - mammogram
P RIOR GYNEC.SURGERY

C ONTRACEPTION
C RAMPS - DYS-MENORR
C O NG. ANOMAL - families

MENSTRUAL Hx: A PILE

A MOUNT
P AIN
I NTER-MENSTR.BLEED.
L ENGTH
E ND / ONSET - M-PAUSE / M-ARCHE