Lesson 1Medical care for unusual womb bleeding: progestins, hormone mix therapy, tranexamic acid, hormone coil — how they work, doses, risks not to useLists medical treatments for unusual womb bleeding, including progestins, hormone mix ways, tranexamic acid, and hormone coil, with how they work, doses, risks not to use, and watching for bad effects.
How progestin ways workHormone mix therapy choicesUse tranexamic acid and warningsHormone coil when and putting inRisks not to use and medicine mixesWatch response and change therapyLesson 2Surgery and procedure choices: womb scope, polyp removal, fibroid removal, womb lining burn, womb removal — when and around-surgery thoughtsDescribes surgery and procedure choices for unusual womb bleeding, including womb scope, polyp removal, fibroid removal, womb lining burn, and womb removal, stressing when, risks not to, and around-surgery risk check.
Check and fix womb scopePolyp removal ways and follow-upFibroid removal paths and patient choiceWomb lining burn when and limitsWomb removal ways and talkAround-surgery improve and agreementLesson 3Womb lining sample ways: clinic womb biopsy, pipelle, stretch and scrape—when and how to readDetails when, ways, and limits of clinic womb lining samples, including pipelle biopsy and stretch and scrape, stressing sample enough, disease terms, and reading results in clinic setting.
Choosing patients for clinic biopsyPipelle way and pain controlWhen to do stretch and scrapeHandling not enough or failed samplesDisease of too much growth and cancerAfter procedure talk and follow-upLesson 4Modern grouping of unusual womb bleeding (PALM-COEIN) and using it in clinicExplains PALM-COEIN grouping of unusual womb bleeding, telling growth from non-growth causes, and shows how to use this in history, exam, and checks in daily clinic work.
Overview of PALM growth groupsCOEIN non-growth causesMatching signs to PALM-COEIN causesMixing scans and labs in diagnosisCase examples with the groupingRecords and code thoughtsLesson 5First checks: pregnancy test, blood count, clotting if needed, womb ultrasound (womb lining thick levels)Covers first check of unusual womb bleeding, stressing no pregnancy, low blood and clotting screen, and womb ultrasound with age and risk based womb lining thick levels to guide more checks.
Rule out pregnancy and outside wombBlood count, iron, and low blood checkWhen to do clotting and platelet testsWomb ultrasound way basicsWomb lining thick levels by risk groupScan findings needing quick checksLesson 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, focusing on Lynch group rules, family history patterns, right gene test sends, and working with gene services and high-risk watch programs.
Main signs of Lynch linked cancersUsing Amsterdam and updated Bethesda rulesWarnings in family and own historyWhen and how to send for gene testTalk before and after test resultsMeaning for family and chain testingLesson 7Targeted body exam findings in unusual womb bleeding and signs pointing to womb cancer (womb bigger, side mass, unusual flow)Looks at targeted womb and body exam in unusual womb bleeding, highlighting findings that point to womb cancer, like bigger womb, side masses, and unusual flow, and how to record and sort them.
Planned womb exam in unusual bleedingChecking womb size and shapeLooking at side massesDescribing neck and vagina spotsUnusual flow and smell patternsBody signs pointing to advanced illnessLesson 8Warnings needing quick check: bleeding after change of life, bleeding between periods with mass, fast womb bigger, body signs pointing to cancerPoints out bleeding patterns and linked signs that need quick check, including bleeding after change of life, bleeding between with mass, fast womb bigger, and body features worrying for hidden cancer.
Check bleeding after change of lifeBleeding between with mass signsFast womb growth and soft tissue cancer worryBody signs pointing to cancerEmergency scans and lab mustsRules for quick send or stay in hospitalLesson 9Talking on watch, baby keep choices, daily habit changes, and follow-up plansCovers talking for patients with higher womb lining cancer risk, including watch ways, baby keep choices, daily habit change, and planned follow-up fit to age, other illnesses, and baby goals.
Making watch times personalBaby keep in high risk patientsWeight, movement, and body controlHormone risk lower waysMaking clear follow-up plansShared choice 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 cancersFocuses on targeted asking 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 how longChecking overweight, PCOS, and sugar illnessHormone therapy and tamoxifen risksOwn history of womb illnessFamily history of Lynch linked cancersRisk grouping and records
