Lesson 1Medicine handling of odd womb bleeding: progestin, hormone mix therapy, blood stop acid, hormone coil — how they work, doses, no-goLists medicine ways for odd womb bleeding, including progestin, hormone mix methods, blood stop acid, and hormone coil, with how they work, doses, no-go, and watch for bad effects.
How progestin plans workHormone mix therapy choicesBlood stop acid use and warningsHormone coil when and put inNo-go and medicine mixesWatch response and change therapyLesson 2Cut and fix choices: inside womb look, lump remove, fibroid remove, lining burn, womb remove — when and around cut careDescribes cut and fix ways for odd womb bleeding, including inside look, lump remove, fibroid remove, lining burn, womb remove, stressing when, no-go, and around cut risk check.
Look and fix inside wombLump remove ways and followFibroid remove paths and pick patientLining burn when and limitsWomb remove ways and adviceAround cut improve and agreeLesson 3Womb lining sample ways: office lining cut, thin tube, open and scrape—when and readingDetails when, ways, limits of office lining samples, including thin tube cut and open scrape, stressing sample enough, illness words, and reading in clinic story.
Pick patient for office cutThin tube way and pain stopWhen to pick open scrapeHandle not enough or failed samplesIllness of too much growth and cancerAfter way advice and followLesson 4Today groups of odd womb bleeding (PALM-COEIN) and using it in clinicExplains PALM-COEIN groups of odd womb bleeding, telling inside from not inside causes, and shows how to use this in story, exam, checks in daily clinic work.
Look at PALM inside groupsCOEIN not inside causesMatch signs to PALM-COEIN causesMix scans and labs in diagnosisCase examples with the groupWrite and code thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, inside womb scan (lining thick levels)Covers starting check of odd womb bleeding, stressing no pregnancy, low blood and clotting screen, and inside womb scan with age-risk lining thick levels to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, low blood checkWhen to ask clotting and platelet testsInside womb scan way basicsLining thick levels by risk groupScan findings needing quick checkLesson 6Gene risk check and send paths for suspected family cancer groups (Lynch): rules, right gene test send triggersLooks at spotting family womb lining cancer risk, focusing on Lynch group rules, family story patterns, right gene test sends, and working with gene services and high risk watch programs.
Key parts of Lynch linked cancersUse Amsterdam and updated Bethesda rulesWarnings in family and own storyWhen and how to send for gene testAdvice before and after test resultsMeaning for family and chain testingLesson 7Targeted body exam findings in odd womb bleeding and signs pointing to women cancer (womb big, side lump, odd flow)Looks at focused belly and body-wide exam in odd womb bleeding, highlighting findings pointing to women cancer, like womb big, side lumps, odd flow, and how to write and sort them.
Planned belly exam in odd bleedingCheck womb size and shapeLook at side lumpsTell neck and private part issuesOdd flow and smell patternsBody-wide signs pointing to bad illnessLesson 8Warnings needing quick check: bleeding after change, between periods with lump, quick womb big, body signs pointing to cancerSpots bleeding patterns and linked signs needing quick check, including after change bleeding, between with lump, quick womb big, and body features worrying for hidden cancer.
After change bleeding checkBetween bleeding with lump signsQuick womb growth and bad growth worryBody signs pointing to cancerEmergency scan and lab mustsRules for quick send or stay inLesson 9Advice on watch, keep baby chance choices, daily habit changes, and follow plansCovers advice for patients with higher womb lining cancer risk, including watch ways, keep baby chances, daily changes, and planned follow tailored to age, other illnesses, baby goals.
Make watch times personalKeep baby in high risk patientsWeight, move, body controlHormone risk cut waysMake clear follow plansShare choice and writeLesson 10Targeted story and risk factor check for womb lining too much growth and cancer including family story of Lynch group and breast/bowel cancersFocuses on targeted story for odd womb bleeding and womb lining cancer risk, including period patterns, body factors, medicine use, and detailed family story of Lynch and linked breast or bowel cancers.
Tell bleeding pattern and lengthCheck big body, PCOS, sugar illnessHormone therapy and tamoxifen touchOwn story of women illnessFamily story of Lynch linked cancersRisk levels and write
