Your 16-year-old patient reports that she gets her period sometimes every month and sometimes she skips a month. If menstrual periods are irregular, the term for this condition is:
A. Menorrhagia
B. Metrorrhagia
C. Dysmenorrhea
D. Amenorrhea
ANS: B
The menstrual history includes any episodes of amenorrhea, menorrhagia (excessive bleeding at the time of the menstrual cycle), metrorrhagia (bleeding at irregular noncyclic intervals), dysmenorrhea, and postmenopausal bleeding. Amenorrhea has many causes, including pregnancy; anorexia nervosa; excessive exercise; low body fat; and disorders or tumors of the hypothalamus, pituitary gland, ovary, uterus, and thyroid gland. Menorrhagia is most commonly caused by uterine fibroids, but hematologic disorders should be considered. Metrorrhagia can be caused by anovulation, intrauterine devices (IUDs), and ovarian and uterine tumors.
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