Lesson 1Medicine handling of unusual womb bleeding: progestins, hormone mix therapy, tranexamic acid, hormone coil — how they work, doses, risks not to useLists medicine therapies for unusual womb bleeding, including progestins, hormone mix ways, tranexamic acid, hormone coil, with how they work, doses, risks not to use, watching for bad effects.
How progestin plans workHormone mix therapy choicesUse of tranexamic acid and warningsHormone coil when and put inRisks not to use and med mixesWatch response and change therapyLesson 2Surgery and procedure choices: womb scope, lump removal, fibroid removal, womb lining burn, womb removal — when and around surgery thoughtsDescribes surgery and procedure choices for unusual womb bleeding, including womb scope, lump removal, fibroid removal, womb lining burn, womb removal, stressing when, risks not to, around surgery risk check.
Check and fix womb scopeLump removal ways and follow-upFibroid removal paths and patient choiceWomb lining burn when and limitsWomb removal ways and adviceAround surgery better and agreementLesson 3Womb lining sample ways: office womb biopsy, pipelle, open and scrape—when and readingDetails when, ways, limits of office womb lining samples, including pipelle biopsy and open scrape, stressing sample enough, illness terms, how to read in body context.
Patient choice for office biopsyPipelle way and pain controlWhen to choose open scrapeHandle not enough or failed samplesIllness of too much growth and cancerAfter procedure advice and follow-upLesson 4Today classification of unusual womb bleeding (PALM-COEIN) and using it in practiceExplains PALM-COEIN class of unusual womb bleeding, telling inside from non-inside causes, shows how to use this frame for history, exam, checks in daily practice.
Overview of PALM inside groupsCOEIN non-inside causesMatching symptoms to PALM-COEIN causesMixing scans and labs into diagnosisCase examples using the frameRecords and code thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, inside womb scan (womb lining thick limits)Covers first check of unusual womb bleeding, stressing no pregnancy, low blood and clotting screen, inside womb scan with age-risk thick limits to guide more checks.
Rule out pregnancy and outside babyBlood count, iron, low blood checkWhen to order clotting and platelet testsInside womb scan way basicsWomb lining thick limits by risk groupScan findings needing quick checkLesson 6Gene risk check and send paths for suspected family cancer groups (Lynch): rules, right gene test send triggersExplores spotting family womb lining cancer risk, focus on Lynch group rules, family history patterns, right gene test sends, and work with gene services and high-risk watch programs.
Key features of Lynch-linked cancersUsing Amsterdam and updated Bethesda rulesWarnings in family and own historyWhen and how to send for gene testAdvice before and after test resultsMeanings for family and chain testingLesson 7Targeted body exam findings in unusual womb bleeding and signs suggesting women cancer (womb big, side lump, unusual flow)Looks at targeted womb and body exam in unusual womb bleeding, highlighting findings suggesting women cancer, like womb big, side lumps, unusual flow, and how to record and sort them.
Planned womb exam in unusual bleedingChecking womb size and shapeSide lump checkDescribing neck and private part problemsUnusual flow and smell patternsBody signs suggesting advanced illnessLesson 8Warnings needing quick check: bleeding after stop periods, between period bleeding with lump, quick womb big, body symptoms suggesting cancerSpots bleeding patterns and linked symptoms needing quick check, including after stop bleeding, between with lump, quick womb big, body features worrying for hidden cancer.
After stop bleeding checkBetween bleeding with lump signsQuick womb growth and soft tissue worryBody symptoms suggesting cancerEmergency scan and lab prioritiesRules for quick send or stay inLesson 9Advice on watch, baby keep choices, daily life changes, follow-up plansCovers advice for patients at higher womb lining cancer risk, including watch ways, baby keep choices, daily change, planned follow-up fit to age, other illnesses, baby goals.
Personal watch timesBaby keep in high-risk patientsWeight, move, body controlHormone risk cut waysMaking clear follow-up plansShared choice and recordsLesson 10Targeted history and risk factor check for womb lining too much growth and cancer including family Lynch group and breast/colon cancersFocuses on targeted story taking for unusual womb bleeding and womb lining cancer risk, including period patterns, body factors, med use, detailed family history of Lynch and linked breast or colon cancers.
Describing bleeding pattern and lengthChecking overweight, PCOS, sugar illnessHormone therapy and tamoxifen exposureOwn history of women problemsFamily history of Lynch-linked cancersRisk sorting and records
