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*