Brachymenorrhea

Brachymenorrhea: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (overweight). Psyche – nervous system (F00-F99; G00-G99) Anorexia nervosa (anorexia nervosa) Genitourinary system (kidneys, urinary tract – sex organs) (N00-N99). Chronic endometritis (inflammation of the uterus). Endometritis tuberculosa – infection of the endometrium with tuberculosis bacteria. Endometrial anomaly – abnormality of the endometrium. Ovarian insufficiency (functional weakness of … Brachymenorrhea: Or something else? Differential Diagnosis

Brachymenorrhea: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina (vagina) Cervix uteri (cervix), or portio (cervix; transition … Brachymenorrhea: Examination

Brachymenorrhea: Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. HCG (human chorionic gonadotropin) determination – to exclude pregnancy. 17-beta estradiol Progesterone FSH (follicle-stimulating hormone) Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. -for differential diagnostic clarification. Inflammatory parameters – CRP (C-reactive protein).

Brachymenorrhea: Drug Therapy

Therapy recommendations Brachymenorrhea that is not due to disease does not require therapy. If possible and necessary, after therapy of the causes, which will not be discussed in this framework because of the diversity, the eumenorrhea (regular, symptom-free menstruation) is restored. Contraceptive desire (desire of contraception); treatment with: Estrogen-progestin combinations

Brachymenorrhea: Diagnostic Tests

Obligatory medical device diagnostics. Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) – to evaluate the genital organs. Abdominal sonography (ultrasound examination of the abdominal organs) – mainly to assess the kidneys, adrenal glands and ovaries. Optional medical device diagnostics -depending on the results of the history, physicalexamination, laboratory diagnostics and … Brachymenorrhea: Diagnostic Tests

Brachymenorrhea: Prevention

To prevent brachymenorrhea, attention must be paid to reducing individual risk factors. Behavioral risk factors Overweight (BMI ≥ 25; obesity). Other risk factors Hormone-coated intrauterine device – contraceptive coil.

Brachymenorrhea: Causes

Pathogenesis (development of disease) The bleeding duration is shorter than three days in brachymenorrhea. The cause is usually ovarian (ovary-related). Etiology (causes) Behavioral causes Overweight (BMI ≥ 25; obesity). Disease-related causes Anorexia nervosa (anorexia nervosa) Chronic endometritis (inflammation of the uterus). Endometrial anomaly – congenital changes in the lining of the uterus. Hormonal disorders such … Brachymenorrhea: Causes

Brachymenorrhea: Therapy

General measures Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program; if the cause of brachymenorrhea is anorexia nervosa, see “Further therapy” under this disease. Review of permanent medication due topossible … Brachymenorrhea: Therapy

Brachymenorrhea: Medical History

Medical history (history of illness) represents an important component in the diagnosis of brachymenorrhea. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). When was your last menstrual period? The change in menstruation, i.e. bleeding that lasts too short, has existed since when? What is the duration of the cycle* ? What is … Brachymenorrhea: Medical History