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  • Links
  • Bartholin Gland Cyst
  • CA - Cervix
  • DUB (Menorrhagia)
  • Fibroids
  • HRT
  • Infertility
  • Menorrhea delay (primary)
  • Misc
  • PID and STD
  • Polycystic Ovary Syndrome (PCOS)
  • Post-Coital Contraception
  • Vaginitis and Wet Prep
  • Vulvar disorders

  • Links

    Bartholin Gland Cyst

    ref: Office Management of Bartholin Gland Cysts and Abscesses - April 1 1998 - AFP

    Word Catheter

    CA - Cervix


    Dysfunctional Uterine Bleeding (Menorrhagia)

    See also: Abnormal Uterine Bleeding - AFP - October 1, 1999 and Polycystic Ovary Syndrome (PCOS)

    Labs (as indicated)


    Fibroids (uterine leiomyomata)



    no symptoms


    Hormone Replacement Therapy and Menopause (ERT, HRT)

    See also Osteoporosis, Osteomalacia and Paget's


    Evaluation sequence

    Accelerate if older or other risk factors, typically start if non-pregnant after 1 year.

    1. male assessment: semen analysis, prostatism screen
    2. ovulation assessment: basal body temp (a bit flaky in practice) +/- ovulation prediction kit. Most screen for TSH,  prolactin and FSH/LH immediately rather than waiting.
    3. luteal phase test: endometrial bx 11-12 days post ovulation (preg test first of course!). In theory do prolactin if there's a luteal phase defect. Clomid is classic Rx for luteal phase defect.
    4. HSG for anatomic defects (some do post-coital test, but that's going out of favor)
    5. Generally thereafter go the usual route of clomid then direct insemination then pergonal then in vitro.

    Menorrhea delay (primary)


    PID and STD

    Polycystic Ovary Syndrome (PCOS)

    Post-Coital Contraception (Morning-After Pill)

    Ovral (FDA approved)

    Levonorgetrel (!!confusing dosage!!)

    Vaginitis and Wet Prep

    ref: Bacterial Vaginosis   - March 15 1998 - AFP. Simple version -- if it smells, then Flagyl.

    Other infections on wet prep

    Vulvar disorders

    See also Vulva Pathology - Non-neoplastic Epithelial Disorders

    Author: John G. Faughnan.  The views and opinions expressed in this page are strictly those of the page author. Pages are updated on an irregular schedule; suggestions/fixes are welcome but they may take weeks to years to be incorporated. Anyone may freely link to anything on this site and print any page; no permission is needed for citing, linking,  printing, or distributing printed copies.