DR.

INA ROA- TABARA APRIL 29, 2021

ABNORMAL UTERINE
BLEEDING

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
Normal cycle:
-Menstruation (day 1-5) - follicular growth in
ovary; sloughing off of endometrial lining
-Follicular phase (day 5-13) - proliferative
endometrium
-ovulation (day 13; usually day 14) - uterine
lining starts to grow itself; blood vessels
become tortuous getting ready for another
menstruation
-secretory endometrium (endometrial lining
thickens) & blood vessels become tortuous
(filled with blood) → MENSTRUATION

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-These are terms USED BEFORE
-do not use these terms in your
diagnosis
-in menopausal women, you do
not menstruate for 12 months

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-terms menorrhagia, hypermenorrhea,
metrorrhagia, and menometrorrhagia
are no longer used today. We now use
HMB for all of them

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-don’t use the term dysfunctional
uterine bleeding (not accepted now).

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-non-gestational acute AUB - non
pregnant; require immediate
intervention
-non-gestational chronic AUB -
present for the last 6 months

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-not used now
-used for research studies

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-as long as the bleeding
interferes with the woman’s life,
it is considered HMB
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-just remember that normal
duration is 24-38 days
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
- FIGO system 1 - definition of
AUB
-FIGO system 2 - categorize AUB
(PALM-COEIN)

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-difference: not yet classified in
2011 became not otherwise
classified in 2018 (minor change
only)
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
- THIS WAS THE 2011!
- does not include the myoma

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-THIS IS THE LATEST FIGO
-included number 8 (cervical
myoma)
-submucous - most important
type of leiomyoma; responsible
for HMB or any kind of AUB
-any myoma with contact with
endometrium or has submucous
part leads to AUB
-cervical myoma (8) - also called
hybrid;

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-endometrial polyps - inside the
endometrium
-cervical polyps - in the cervix
only

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-cervical polyp is not seen with
ultrasound
-endometrial polyp is seen with
ultrasound
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-new diagnostic criteria in
adenomyosis (usually in TVUS)
-included in new FIGO (2019);
absent in FIGO 2011

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-some called myoma/leiomyoma
as fibroid
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Parasitic: with broad ligament

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-old classification

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-submucosal: usual cause of
abnormal menstrual bleeding

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Myomas that usually cause
bleeding
● inside the cavity
● have contact with
endometrial lining

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
● <6mm for premenopausal
● 4-9 mm: normal endometrial
thickness (in some, 5-10 mm)
● Thickened endometrium in
postmenopausal woman: think
of endometrial cancer

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Completion curettage: done
due to miscarriage/ abortion
-Fractional curettage: done
usually on operating room

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Transvaginal ultrasonography:
most readily available

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-To avoid anxiety for patients,
you can write in home meds
instructions as diagnosis: AUB
secondary to endometrial
hyperplasia
-AUB-M in chart of patient

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-”trashcan/ waste diagnosis”:
diagnosed by exclusion
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-estrogen: follicular
-progesterone: secretory

AUB-E: endometrium with normal

cycle but bleeds without cause;
needs further investigation

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Blood thinner: Heparin

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Women taking blood thinners:
may present with AUB

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-If you cannot find any other
problem or etiology

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Menstruation in newborn:
physiologic; caused by estrogen
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-PE: include weight
-Obesity and PCOS: can cause
AUB
-Pap smear: not done when the
patient is bleeding

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Do not forget to do pregnancy
test
-Talk with adolescent patient
without the parent
-Chlamydia: intermenstrual
bleeding or post coital bleeding

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Transvaginal US: very
important; better than pelvic US
-Transrectal US
-Saline infusion sonography
(SIS): visualize intra-uterine
abnormalities

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Hysteroscope: can visualize the
entire endometrium
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Complete history taking
-Thorough PE
-Do an IE and speculum exam to
look for polyps
-Ancillary investigations:
transvaginal US, CBC, thyroid
function tests

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Y: yes
-N: No
-?: need further investigation
-Lo: leiomyoma is very small;
intramural
-E: monthly heavy menstrual
bleeding

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Hypertensive: levonorgestrel
-Tranexamic acid: acute bleeding

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Xenoestrogens: in plastic, toys,
building materials, air
fresheners etc
-Bind to estrogen receptors

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-
-

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

QUESTIONS

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: E. None of the above
-All are structural.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-answer: D. Endometriosis
-Endometriosis- structural

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-answer: A. AUB-P
-polyp

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-answer: B. Polypectomy
Since polyp is structural
If TVS is abnormal (>5 mm), need
for fractional curettage.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: A. Submucous

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: E. Hysteroscopy +
Myomectomy

If short of hysteroscopy,
myomectomy is done but not
done abdominally. Completion
curettage with myomectomy.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: B. A & C

Myomas touching the

endometrium or uterus.

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: D. Post-menopausal

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: All of the above

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: B. Ultrasonography

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod
 DR. INA ROA- TABARA APRIL 29, 2021

NOTES
-Answer: A. True

Arevalo, Jaranilla, Loreno, Jazareno, Luciano, Raro, Cuajao, Madera, Malaiba,

Chito, Marco, Mausisa, Najito, Picones, Villones, Carillo, Galvez, Tan, Utod