Common Gynae Complaint & its Differentials

1) Dysmenorrhea 
    -  Primary
    -  Secondary
       1) Endometriosis 
       2) Fibroid
       3) Adenomyosis
       4) PID 

2) Menorrhagia
    1) Fibroid 
    2) Adenomyosis
    3) Endometrial Polyps
    4) Endometrial Hyperplasia
    5) Endometrial CA
    6) Hyperthyroidism
    7) DUB (dx of exclusion)

3) Bleeding Early Pregnancy
    1) Abortion
    2) Molar Pregnancy
    3) Ectopic Pregnancy

4) Amenorrhea 
    -  Primary 
        1) Kallman Syndrome
        2) Gonadal Dysgenesis: Turner Syndrome, Testicular Feminizing Syndrome
        3) Uterus: Mullerian Agenesis 
        4) Vagina Atresia, Imperforated Hymen
        5) Any Chronic illness of Childhood eg: Thallasemia, CF etc

    -  Secondary 
        1) Pituitary: Exercise, Stress, Eating d/o, Sheehan Syndrome, HyperProlactinemia,
                          Hyper/HypoThyroid
        2) Pregnancy (most common) 
        3) Menopause
        4) PCOS
        5) Uterus: Asherman's Syndrome

5) Post-Menopausal Bleed
    1) Cervical CA
    2) Endometrial CA
    3) Endometrial Hyperplasia +/- Ovarian CA (Hormonal Secreting)
    4) Endocervical Polyps
    5) Atrophic Vaginitis (most common)
    6) Bleeding Early Pregnancy
    7) Blood Disorder

6) Infertility/Subfertilty  
    1) Uterus : Fibroid, Endometriosis
    2) Tubal: PID (adhesion), Tubal Pregnancy
    3) Ovary: PCOS, POF
    4) Husband Related
    5) Unexplained Fertility

* Selamat Belajar*

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This is all a collection of what I have learnt during my medical student years, most of them are already a simplified version, very clinical, and comes from what my Lecturer had thought.... I love to make notes in my own way, so that I can have a better understanding on what I have seen.... I hope, this will benefit all people, especially medical students... so that you will get this right... but just bear in mind... I'm a human too... so, mistakes is still in my dictionary of life.... so, please correct me if I'm wrong... Really2x appreciate that....

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Just a simple guy with a lot of things going on his mind... love to please others and help others who in need... Hoping that every nice moment in his life could be shared with others as well...(coz it's not much)