Lesson 1Medicine treatment of unusual womb bleeding: progestins, hormone mix therapy, blood stop acid, hormone coil inside — how they work, doses, risks not to useLists medicine treatments for unusual womb bleeding, including progestins, hormone mix ways, blood stop acid, hormone coil inside, with how they work, doses, risks not to use, watching for bad effects.
How progestin plans workHormone mix therapy choicesBlood stop acid use and warningsHormone coil when and put inRisks not to use and medicine mixesWatch response and change therapyLesson 2Cut and fix options: inside scope, lump remove, fibroid remove, lining burn, womb remove — when and around cut thoughtsDescribes cut and fix options for unusual womb bleeding, including inside scope, lump remove, fibroid remove, lining burn, womb remove, stressing when, risks not to, around cut risk check.
Check and fix inside scopeLump remove ways and followFibroid remove paths and pick patientLining burn when and limitsWomb remove ways and adviceAround cut bettering and okayLesson 3Womb lining sample ways: office lining biopsy, small tube, open and scrape—when and readingDetails when, ways, limits of office womb lining samples, including small tube biopsy and open scrape, stressing sample enough, sickness terms, how to read in doctor setting.
Pick patient for office biopsySmall tube way and pain controlWhen to pick open scrapeHandle not enough or failed samplesSickness of too much growth and cancerAfter way advice and followLesson 4Today groups of unusual womb bleeding (PALM-COEIN) and using it in doctor workExplains PALM-COEIN groups of unusual womb bleeding, telling inside from non-inside causes, shows how to use this frame for history, exam, checks in daily doctor work.
Look at PALM inside groupsCOEIN non-inside causesMatch symptoms to PALM-COEIN causesMix scans and labs into sickness nameCase examples with frameWrite and code thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, inside scan (lining thick levels)Covers first check of unusual womb bleeding, stressing no pregnancy, low blood and clotting screen, inside scan with age and risk changed lining thick levels to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, low blood checkWhen to do clotting and platelet testsInside 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, focus on Lynch group rules, family history patterns, right gene test sends, and work with gene services and high risk watch programs.
Key parts of Lynch linked cancersUse Amsterdam and changed 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 pointing to woman cancer (womb big, side lump, unusual flow)Looks at targeted belly and body wide exam in unusual womb bleeding, highlighting findings pointing to woman cancer, like womb big, side lumps, unusual flow, and how to write and sort them.
Planned belly exam in unusual bleedingCheck womb size and shapeCheck side lumpsTell neck and private part problemsUnusual flow and smell patternsBody wide signs pointing to bad sicknessLesson 8Warnings needing quick check: bleeding after periods stop, between period bleeding with lump, quick womb big, body symptoms pointing to cancerPoints out bleeding patterns and linked symptoms needing quick check, including after periods stop bleeding, between bleeding with lump, quick womb big, body features worrying for hidden cancer.
After periods stop bleeding checkBetween bleeding with lump signsQuick womb growth and bad growth worryBody symptoms pointing to cancerEmergency scan and lab needsRules for quick send or stay inLesson 9Advice on watch, keep baby chance options, daily changes, follow plansCovers advice for patients with higher womb lining cancer risk, including watch ways, keep baby options, daily change, planned follow ups fit to age, other sickness, baby goals.
Personal watch timesKeep baby in high risk patientsWeight, move, body controlHormone risk cut waysMake clear follow plansShared choice and writeLesson 10Targeted history and risk factor check for womb lining too much growth and cancer including family Lynch group and breast/colon cancersFocuses on aimed story asking for unusual womb bleeding and womb lining cancer risk, including period patterns, body factors, medicine use, detailed family history of Lynch group and linked breast or colon cancers.
Tell bleeding pattern and long timeCheck big body, PCOS, sugar sicknessHormone therapy and special medicine exposureOwn history of woman problemsFamily history of Lynch linked cancersRisk levels and write
