Unprecedented Surge
Menorrhagia.
What is the old term for Heavy Menstrual Bleeding?
Delayed bone age compared to chronologic age.
What is a feature of constitutional growth delay?
The most common female endocrinopathy.
What is PCOS?
Painless periods.
What is a hallmark sign of anovulatory cycles?
Menstrual cycle of 39 days.
What is a normal menstrual cycle?
Over 80 mls of menstrual blood loss.
What is Heavy Menstrual Bleeding?
Failure to menstruate within 3 years of the onset of thelarche.
What is primary amenorrhea?
Acne, hirsutism, clitoromegaly.
What are clinical signs of hyperandrogenism?
Chronic pelvic pain; bowel and bladder symptoms with menses; dyspareunia.
What are typical features of endometriosis in adolescents?
The menstrual disturbance typically associated with hyperprolactinemia.
What is periods becoming lighter and shorter over time?
Von Willebrand disease.
What is the most common coagulopathy causing heavy menstrual bleeding?
Body composition of 18%.
What is too little body fat to menstruate?
Pelvic ultrasound.
What is not required to diagnose PCOS in adolescents?
Most common cause of school absence in adolescent females.
What is dysmenorrhea?
Shark Week, Aunt Flo, the Red Panda.
What are slang terms for the arrival of menses?
The Mini Pill.
What is a less than ideal option for management of HMB?
The cessation of irregular menses for 6 months.
What is secondary amenorrhea?
Elevated free and total testosterone, DHEAS, androstenedione.
What are biochemical markers of PCOS?
First line treatments for dysmenorrhea.
What are NSAIDs?
14 days.
What is the length of the luteal phase of the menstrual cycle?
Anovulatory cycles.
What is the most common cause of HMB in adolescents?
The sequence of pubertal progression in females.
What is thelarche, pubarche, growth spurt, menarche?
Combined Oral Contraceptives.
What is first line management for PCOS?
Dr. Hick's favourite beverage.
What are bubbles?
A secondary mound.
What is the hallmark of a SMR stage 4 breast?