This powerpoint presentation covers abnormal uterine bleeding, including its causes, classifications, investigations, and management. It discusses evaluating the endometrium and endometrial cavity, as well as medical treatments like the Mirena IUS, surgical treatments such as endometrial ablation and hysterectomy, and interventional treatments like uterine artery embolization. The goal of management is to exclude malignant causes, diagnose benign causes, and treat the condition based on factors like the patient's health, tolerance of medications, and future fertility plans.
Invited Lecture delivered by Dr Sujoy Dasgupta in the Annual Conference of ISAR (Indian Society of Assisted Reproduction) held at Kolkata in November, 2019
Invited Lecture delivered by Dr Sujoy Dasgupta in the Annual Conference of ISAR (Indian Society of Assisted Reproduction) held at Kolkata in November, 2019
Endometrial hyperplasia - irregular proliferation of the endometrial glands with an increase in the gland to stroma ratio when compared with proliferative endometrium
Endometrial Ca - most common gynaecological maglinancy in the western country, endometrial hyperplasia as the precursor
Incidence of endometrial hyperplasia 3 folds higher than endometrial Ca
Fourth most common cancer in women in Peninsular Malaysia
tubal factor is almost 30% of all female infertility causes.Hence evaluation of tubes is usulally the first of the testings.
this presentation evaluates all the methods for evaluation of fallopian tubes
Since the first formal description of LPD in 1949 as a possible cause of infertility and recurrent miscarriage by Jones. Innumerable investigations have been undertaken in an effort to verify its existence or to characterize its pathophysiology, diagnosis, and treatment. The consensus of the literature is that LPD does exist and that its cause is multifactorial like abnormal folliculogenesis, inadequate LH surge,inadequate secretion of progesterone by the corpus luteum, aberrant end-organ response by the endometrium.
Endometrial hyperplasia - irregular proliferation of the endometrial glands with an increase in the gland to stroma ratio when compared with proliferative endometrium
Endometrial Ca - most common gynaecological maglinancy in the western country, endometrial hyperplasia as the precursor
Incidence of endometrial hyperplasia 3 folds higher than endometrial Ca
Fourth most common cancer in women in Peninsular Malaysia
tubal factor is almost 30% of all female infertility causes.Hence evaluation of tubes is usulally the first of the testings.
this presentation evaluates all the methods for evaluation of fallopian tubes
Since the first formal description of LPD in 1949 as a possible cause of infertility and recurrent miscarriage by Jones. Innumerable investigations have been undertaken in an effort to verify its existence or to characterize its pathophysiology, diagnosis, and treatment. The consensus of the literature is that LPD does exist and that its cause is multifactorial like abnormal folliculogenesis, inadequate LH surge,inadequate secretion of progesterone by the corpus luteum, aberrant end-organ response by the endometrium.
causes ,aetiology of pain during menstrual cycle and treatment.
causes and treatment for anxiety before menstrual cycle
non pharmacological treatment of anxiety before periods
different gynaecological problems
pscycological aspects of the dysmenorrhoea
pharmacological management of dysmenorrhoea
Uterus (womb) as an organ is pivotal not only to giving birth, but also to the overall well-being of women and their physical, emotional, and sexual health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
7. Powerpoint Templates
Page 7
Notation. A. In all cases, the presence or absence of each criterion is noted using
“0” if absent, “1” if present, and “?” if not yet assessed. Each of the cases shown has 1
abnormality identified. From the top: at least one submucosal leiomyoma (LSM);
adenomyosis (A)—focal and/or diffuse; endometrial polyps (P); and an absence of any
abnormality, leaving endometrial causes (E) as a diagnosis of exclusion. B. Each of the cases
shown has more than 1 positive category. From the top: submucosal leiomyoma and
atypical endometrial hyperplasia (M), as diagnosed by endometrial sampling; endometrial
polyps and adenomyosis; endometrial polyps and subserosal leiomyoma (LO); and
adenomyosis, subserosal leiomyoma and coagulopathy (C), as determined by positive
screening test and subsequent biochemical confirmation of von Willebrand dis
12. Powerpoint Templates
Page 12
Exclusion of malignant
causes is vital i.e.
endometrial cancer or
hyperplasia.
Benign organic causes of
menorrhagia include
endometrial polyps and sub
mucous fibroids.
13. Powerpoint Templates
Page 13
People with risk factors for endometrial cancer
or hyperplasia. The following were found to be
independently associated.
1. Obesity(>90kg);
2. Infertility
3. Nulliparity;
4. Age >45 yrs; ( At 40 yrs 5/100,000, 45 yrs
13/100000, 55 yrs 32/100000)
5. Family history of colon cancer
14. Powerpoint Templates
Page 14
D&C is not performed as an
initial work up. Should be
performed in conjunction with
hysteroscopy to evaluate
endometrial cavity.
Pipelle endometrial biopsy
appears at least as accurate as
D&C, has high levels of patient
acceptability, lower
complication rates and do not
require inpatient admission or
GA.
18. Powerpoint Templates
Page 18
No tissue found
◦ Most likely endometrium is atrophic and
requires estrogen
Simple proliferative
◦ This is normal and does not require treatment
Endometrial hyperplasia
◦ Except atypical adenomatous requires
progestins regimens
◦ Atypical adenomatous hyperplasia,
hysterectomy advised
Endometrial carcinoma
◦ Refer onco team
20. Powerpoint Templates
Page 20
Overall health and the medical history
Cause and severity of condition
Tolerance of medications
Future childbearing plans
Effect of condition on lifestyle
24. Powerpoint Templates
Page 24
Bleeding patterns of LNG-containing
intrauterine systems (Mirena®):
-3 -2 -1 1 2 3 4 5 6 7 8 9 10 11
In the first 3-6 months irregular bleeding and
spotting
shorter, lighter and less painful periods
about 20% of women may have no bleeding after 1
year
25. Powerpoint Templates
Page 25
Mirena effectively reduces menstrual blood
loss (MBL)
0
50
100
150
200
Before
insertion
3 6 12
Months of Mirena use
MedianMBL(mL)
* * *
* p<0.001
─86%
─97%─91%
%
Reduction
(80mL MBL = menorrhagia)
Andersson JK, Rybo G. Levonorgestrel-releasing intrauterine device in the
treatment of menorrhagia. Br J Obstet Gynaecol. 1990; 97: 690-4
27. Powerpoint Templates
Page 27
IUS
0
10
20
30
40
50
60
70
80
90
100
Mirena Control
Proportionofwomen(%)
*p<0.001; between groups
. Lähteenmäki P, Haukkamaa M, Puolakka J, et al. Open randomised study of use of
levonorgestrel releasing intrauterine system as an alternative to hysterectomy. BMJ
1998; 316: 1122-6
28. Powerpoint Templates
Page 28
Compared to endometrial ablation
◦ Slightly less mean reduction of blood loss but
equal patient satisfaction
◦ Similarly equal satisfaction to hysterectomy
◦ Higher continuation rate
◦ More cost effective
◦ Should be considered in women who failed
medical therapy
◦ Added advantage of reliable contraception
◦ Risk of expulsion 10-20%
◦ Need trained staff for insertion
35. Powerpoint Templates
Page 35
Small vessels are
accessed using a
microcatheter
Once the catheter
is in place, PVA
particles are
introduced until
the blood flow
stopped