Lesson 1Medical management of odd womb bleeding: progestins, combined hormone therapy, tranexamic acid, levonorgestrel coil — ways they work, doses, risksSets out drug treatments for odd womb bleeding, including progestins, combined hormone methods, tranexamic acid, and hormone coil, with how they work, doses, risks, and checks for side effects.
How progestin plans workCombined hormone therapy choicesUse of tranexamic acid and warningsHormone coil reasons and placingRisks and drug mixesChecking response and changing therapyLesson 2Surgical and procedure options: womb scope, polyp removal, fibroid removal, womb lining burn, womb removal — reasons and around-surgery notesDescribes surgery and procedure choices for odd womb bleeding, including womb scope, polyp removal, fibroid removal, womb lining burn, and womb removal, focusing on reasons, risks, and around-surgery risk checks.
Check and fix womb scopePolyp removal methods and follow-upFibroid removal ways and patient choiceWomb lining burn reasons and limitsWomb removal methods and adviceAround-surgery bettering and agreementLesson 3Womb lining sample methods: office womb biopsy, pipelle, stretch and scrape—reasons and readingDetails reasons, methods, and limits of office womb lining samples, including pipelle biopsy and stretch and scrape, focusing on sample quality, disease terms, and reading results in patient context.
Patient choice for office biopsyPipelle method and pain controlWhen to choose stretch and scrapeHandling poor or failed samplesDisease of overgrowth and cancerAfter-procedure advice and follow-upLesson 4Modern grouping of odd womb bleeding (PALM-COEIN) and using it in practiceExplains the PALM-COEIN grouping of odd womb bleeding, separating growth from non-growth causes, and shows how to use this frame for history, exam, and checks in daily practice.
Overview of PALM growth groupsCOEIN non-growth causesLinking symptoms to PALM-COEIN causesBlending scans and labs into diagnosisCase examples with the frameRecords and coding notesLesson 5First-line checks: pregnancy test, blood count, clotting if needed, womb scan (womb lining thickness limits)Covers starting checks for odd womb bleeding, stressing no pregnancy, low blood and clotting screening, and womb scan with age and risk-based lining thickness limits to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, and low blood checksWhen to order clotting and platelet testsWomb scan method basicsLining thickness limits by risk groupScan findings needing quick checksLesson 6Genetic risk checks and send paths for suspected family cancer groups (Lynch): rules, right genetic test send triggersExplores spotting family womb lining cancer risk, focusing on Lynch group rules, family patterns, right genetic test sends, and linking with gene services and high-risk watch programs.
Key features of Lynch-linked cancersUsing Amsterdam and updated Bethesda rulesWarnings in family and personal historyWhen and how to send for genetic testsAdvice before and after test resultsEffects for family and chain testingLesson 7Targeted body exam findings in odd womb bleeding and signs pointing to women's cancer (womb growth, side mass, odd discharge)Reviews focused pelvis and body exam in odd womb bleeding, highlighting findings pointing to women's cancer, like womb growth, side masses, and odd discharge, and how to record and sort them.
Planned pelvis exam in odd bleedingChecking womb size and shapeSide mass checksDescribing neck and vagina spotsOdd discharge and smell patternsBody signs pointing to advanced illnessLesson 8Warnings needing quick checks: bleeding after menopause, between-period bleeding with mass, fast womb growth, body symptoms pointing to cancerSpots bleeding patterns and linked symptoms needing quick checks, including after-menopause bleeding, between-period with mass, fast womb growth, and body features worrying for hidden cancer.
After-menopause bleeding checksBetween-period bleeding with mass signsFast womb growth and flesh cancer worryBody symptoms pointing to cancerEmergency scans and lab prioritiesRules for quick send or stayLesson 9Advice on watching, fertility saving options, lifestyle changes, and follow-up plansCovers advice for patients at higher womb lining cancer risk, including watch strategies, fertility saving choices, lifestyle changes, and planned follow-up fit to age, other illnesses, and baby goals.
Personal watch timesFertility saving in high-risk patientsWeight, movement, and body controlHormone risk cut strategiesMaking clear follow-up plansJoint choice and recordsLesson 10Targeted history and risk factor checks for womb lining overgrowth and cancer including family history of Lynch group and breast/colon cancersFocuses on aimed history for odd womb bleeding and womb lining cancer risk, including period patterns, body factors, med use, and detailed family history of Lynch group and linked breast or colon cancers.
Describing bleeding pattern and lengthChecking obesity, PCOS, and sugar illnessHormone therapy and tamoxifen exposurePersonal history of women's illnessFamily history of Lynch-linked cancersRisk grouping and records
