Lesson 1Medicine handling of unusual womb bleeding: progestins, mixed hormone therapy, tranexamic acid, levonorgestrel womb device — how they work, amounts, risksThis lesson outlines medicine treatments for unusual womb bleeding, including progestins, mixed hormone ways, tranexamic acid, and levonorgestrel womb device, with how they work, amounts, risks, and watching for bad effects.
How progestin ways workMixed hormone therapy choicesUse of tranexamic acid and warningsLevonorgestrel womb device when and put inRisks and medicine mixesWatching response and changing therapyLesson 2Cut and procedure choices: inside womb look, lump removal, fibroid removal, womb lining burn, womb removal — when and around procedure careThis lesson describes cut and procedure choices for unusual womb bleeding, including inside womb look, lump removal, fibroid removal, womb lining burn, and womb removal, stressing when, risks, and care before and after.
Look and fix inside wombLump removal ways and follow-upFibroid removal paths and patient choiceWomb lining burn when and limitsWomb removal ways and adviceCare before and after and agreementLesson 3Womb lining sample ways: office womb biopsy, pipelle, open and scrape — when and how to readThis lesson details when, ways, and limits of office womb lining samples, including pipelle biopsy and open and scrape, stressing sample enough, illness terms, and reading results in patient context.
Choosing patients for office biopsyPipelle way and pain controlWhen to choose open and scrapeHandling not enough or failed samplesIllness of too much growth and cancerAfter procedure advice and follow-upLesson 4Modern grouping of unusual womb bleeding (PALM-COEIN) and using it in practiceThis lesson explains the PALM-COEIN grouping of unusual womb bleeding, telling 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 causesMatching symptoms to PALM-COEIN causesPutting scans and labs into diagnosisCase examples using the frameRecords and coding thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, inside womb scan (womb lining thickness levels)This lesson covers first check of unusual womb bleeding, stressing no pregnancy, low blood and clotting screen, and inside womb scan with age and risk adjusted womb lining thickness levels to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, and low blood checkWhen to order clotting and platelet testsInside womb scan way basicsWomb lining thickness 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 triggersThis lesson explores spotting family womb lining cancer risk, focusing on Lynch group rules, family history 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 personal 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 bigger, side lump, unusual flow)This lesson reviews targeted belly and body exam in unusual womb bleeding, highlighting findings that suggest women cancer, like womb bigger, side lumps, and unusual flow, and how to record and sort them.
Planned belly exam in unusual bleedingChecking womb size and shapeChecking side lumpsDescribing 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 bigger, body symptoms suggesting cancerThis lesson spots bleeding patterns and linked symptoms that need quick check, including bleeding after periods stop, between bleeding with lump, quick womb bigger, and body features worrying for hidden cancer.
After stop periods bleeding checkBetween bleeding with lump signsQuick womb growth and bad growth worryBody symptoms suggesting cancerEmergency scan and lab prioritiesRules for quick send or stay inLesson 9Advice on watching, saving fertility choices, daily habit changes, and follow-up plansThis lesson covers advice for patients with higher womb lining cancer risk, including watch ways, saving fertility choices, daily habit changes, and planned follow-up suited to age, other illnesses, and baby goals.
Personalizing watch timesSaving fertility in high risk patientsWeight, movement, and body controlHormone risk cut waysMaking clear follow-up plansShared choices and recordsLesson 10Targeted history and risk factor check for womb lining too much growth and cancer including family history of Lynch group and breast/colon cancersThis lesson focuses on targeted story taking for unusual womb bleeding and womb lining cancer risk, including period patterns, body factors, medicine use, and detailed family history of Lynch group and linked breast or colon cancers.
Describing bleeding pattern and lengthChecking fat, polycystic ovaries, and sugar illnessHormone therapy and tamoxifen exposurePersonal history of women problemsFamily history of Lynch linked cancersRisk grouping and records
