Lesson 1Medical handling of odd womb bleeding: progestins, hormone mix therapy, tranexamic acid, hormone coil — how they work, doses, no-gosOutlines medicine treatments for odd womb bleeding, including progestins, hormone mix methods, tranexamic acid, hormone coil, with how they work, doses, no-gos, and watching for bad effects.
How progestin plans workHormone mix therapy choicesUse of tranexamic acid and warningsHormone coil signs and putting inNo-gos and medicine mixesWatching response and changing therapyLesson 2Surgery and procedure choices: womb scope, lump removal, fibroid removal, womb lining burn, womb removal — signs and around-surgery thoughtsDescribes surgery and procedure choices for odd womb bleeding, including womb scope, lump removal, fibroid removal, womb lining burn, womb removal, stressing signs, no-gos, around-surgery risk check.
Check and fix womb scopeLump removal methods and follow-upFibroid removal ways and patient choiceWomb lining burn signs and limitsWomb removal ways and adviceAround-surgery better and agreementLesson 3Womb lining sample methods: office womb biopsy, pipelle, stretch and scrape—signs and readingDetails signs, methods, limits of office womb lining samples, including pipelle biopsy and stretch and scrape, stressing sample enough, disease terms, reading in clinic setting.
Patient choice for office biopsyPipelle method and pain controlWhen to choose stretch and scrapeHandling not enough or failed samplesDisease of too much growth and cancerAfter-procedure advice and follow-upLesson 4Modern grouping of odd womb bleeding (PALM-COEIN) and using it in clinicExplains PALM-COEIN grouping of odd womb bleeding, separating inside from non-inside causes, and shows how to use this frame for history, exam, checks in daily clinic work.
Overview of PALM inside groupsCOEIN non-inside causesMatching symptoms to PALM-COEIN causesCombining scans and labs in diagnosisCase examples with the frameRecords and coding thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, inside womb scan (womb lining thickness limits)Covers first check of odd womb bleeding, stressing no pregnancy, low blood and clotting screen, inside womb scan with age and risk changed lining thickness limits to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, low blood checkWhen to order clotting and platelet testsInside womb scan method basicsLining thickness 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, focusing on Lynch group rules, family story patterns, right gene test sends, and working with gene services and high-risk watch programs.
Key features of Lynch-linked cancersUsing 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 suggesting womb area cancer (womb bigger, side lump, odd discharge)Reviews targeted womb and body exam in odd womb bleeding, highlighting findings suggesting womb area cancer, like womb bigger, side lumps, odd discharge, and how to record and sort them.
Planned womb exam in odd bleedingChecking womb size and shapeSide lump checkDescribing neck and private part issuesOdd discharge and smell patternsBody signs suggesting advanced illnessLesson 8Warnings needing quick check: bleeding after change, between-period bleeding with lump, fast womb bigger, body symptoms suggesting cancerIdentifies bleeding patterns and linked symptoms needing quick check, including after-change bleeding, between-period with lump, fast womb bigger, body features worrying for hidden cancer.
After-change bleeding checkBetween-period bleeding with lump signsFast womb growth and soft tissue worryBody symptoms suggesting cancerEmergency scan and lab prioritiesRules for quick send or admitLesson 9Advice on watching, keeping fertility choices, lifestyle changes, and follow-up plansCovers advice for patients at higher womb lining cancer risk, including watch strategies, keeping fertility choices, lifestyle change, planned follow-up fit to age, other illnesses, baby goals.
Personal watch timesKeeping fertility in high-risk patientsWeight, exercise, body controlHormone risk cut strategiesMaking 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 odd womb bleeding and womb lining cancer risk, including period patterns, body factors, medicine use, detailed family story of Lynch group and linked breast or colon cancers.
Describing bleeding pattern and lengthChecking overweight, PCOS, sugar illnessHormone therapy and tamoxifen exposureOwn story of womb area problemsFamily story of Lynch-linked cancersRisk grouping and records
