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Flow charts for gynaecological conditions
1. FLOW CHARTS FOR
GYNAECOLOGICAL CONDITIONS--
-DIAGNOSIS & MANAGEMENT
Prof. M.C. Bansal.
MBBS. MS . MICOG. FICOG.
Founder Principal & Controller ;
Jhalwar Medical College And Hospital Jhalawar.
Ex . Principal & Controller ;
Mahatma Gandhi Medical College And Hospital , Sitapura; Jaipur.
26. DUB management in Reproductive Age Group
Abnormal bleeding
Clinical Evaluation
Normal Abnormal
Medical Rx USG
Response No Response Rx Accordingly
Cont. For USG
3-6 months/ Polyp Normal
LNG –IUS
Response No Response
Hysterectomy
hysteroscopic
polypoidectomy
Endo . Ablation
LNG -IUS= Levonorgstrel intra
uterine system
27. DUB Management in Perimenopausal age
group
Abnormal Uterine Bleeding
clinical Evaluation
Risk Factors for Hyperplasia , carcinoma , irregular acyclic Bleeding
NO Yes
Low Dose
OCS
USG, Fractional Curretage, endometrial HP
examination
Atypical Hyperplasia Simple Hyperplasia
Hysterectomy
Low Dose Ocs / cyclical
Progesterone
28. Pathogenesis Of PMS
Changes in Ovarian steroids
Alteration In Neurotransmiters ( adrenergic,
steroidogenic opoids , GABAergic)
Genetic Socio
Predisposition PMS/PMDD culturalFactor