26.2008 Reproductive Endocrinology

Zhang Huiying Normal and Abnormal Menstruation Reproductive Endocrinology

Main contents ,[object Object],[object Object],[object Object],[object Object],[object Object]

Normal menstruation ,[object Object],[object Object],[object Object],[object Object]

CNS-Hypothalamus-Pituitary Ovary-uterus Interaction Hypothalamus Gn-RH Ant. pituitary FSH, LH Ovaries Uterus Progesterone Estrogen Menses – ± ? CNS Not clear

[object Object],[object Object],[object Object],[object Object],[object Object]

The control of regular menstrual blood loss ,[object Object],[object Object],[object Object]

Sorts of bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object]

Patterns of abnormal uterine bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hypomenorrhea ,[object Object],[object Object]

Metrorrhagia ,[object Object],[object Object]

Polymenorrhea ,[object Object]

Menometrorrhagia ,[object Object],[object Object]

Oligomenorrhea ,[object Object],[object Object]

Contact bleeding(postcoital bleeding) ,[object Object]

Evaluation of abnormal uterine bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical examination ,[object Object],[object Object],[object Object],[object Object],[object Object]

Cytologic examination -cytologic smears A very useful method to screen the asymptomatic intraepithelial lesions.

Endometrial biopsy ,[object Object],[object Object],[object Object],[object Object]

Saline hysterosonogram ,[object Object]

Dilatation and curettage(D ＆ C) ,[object Object],[object Object]

Other diagnostic procedures ,[object Object],[object Object],[object Object]

abnormal uterine bleeding due to gynecologic diseases and disorders ,[object Object],[object Object],[object Object],[object Object]

Abnormal bleeding due to nongynecologic diseases and disorders ,[object Object],[object Object],[object Object],[object Object]

Dysfunctional uterine bleeding(DUB)

definition ★ ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mechanisms ,[object Object],[object Object],[object Object],[object Object],[object Object]

pathologic Changes in the endometrium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object]

Adolescent ,[object Object],[object Object]

[object Object],2.5mg / 6h 2.5mg / 8h 2.5mg / 12h 2.5mg / d Use to bleeding stoped 3d 3d 3d 1.25mg / d 10-14d medroxyprogesterone acetate 10-14d

[object Object],[object Object],[object Object],Adolescent

Young women ,[object Object],[object Object],[object Object],[object Object]

Premenopausal women ,[object Object],[object Object],[object Object]

Surgical measures ,[object Object],[object Object],[object Object]

polycystic ovarian syndrome(PCOS)

Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alopecia or Female Pattern Baldness ,[object Object]

“ Dirty Skin” or Acanthosis Nigricans ,[object Object]

Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostic Criteria of PCOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Long term risks of PCOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mechanism of PCOS ,[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Treatment

26.2008 Reproductive Endocrinology

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26.2008 Reproductive Endocrinology