RT Book, Section
A1 Rees, Margaret
A1 Hope, Sally
A1 Oehler, Martin K
A1 Moore, Jane
A1 Crawford, Polly
SR Print(0)
ID 1152371923
T1 Irregular Menstruation
T2 Problem Solving in Women's Health
YR 2018
FD 2018
PB Clinical Publishing
PP New York, NY
SN 9781846920288
LK hemonc.mhmedical.com/content.aspx?aid=1152371923
RD 2021/03/05
AB A  25-year-old  woman,  para  1  (normal  vaginal  delivery  18  months  previously),  wants  to  conceive  a  second  time.  She  is  otherwise  fit  and  well,  but  since  her  first  child  was  born  her  periods  now  only  occur  every  six  to  ten  weeks.  They  are  heavy  but  not  painful.  There  is  no  intermenstrual  bleeding.  She  gained  about  12.5  kg  during  her  pregnancy  and  has  never  been  able  to  lose  it.What  is  the  most  likely  explanation  for  her  irregular  cycle?How  could  the  diagnosis  be  confirmed?How  should  this  be  treated  if  she  did  not  want  to  conceive?What  interventions  would  help  to  restore  her  fertility?What  are  the  long-term  implications  for  her  health  and  fertility?