Medical brain notes 6

  History A   48-year-old   woman   presents   with   intermenstrual   bleeding   for   2   months.   Episodes   of bleeding   occur   any   time   in   the   cycle.   This   is   usually   fresh   red   blood   and   much   lighter   than a   normal   period.   It   can   last   for   1–6   days.   There   is   no   associated   pain.   She   has   no   hot flushes   or   night   sweats.   She   is   sexually   active   and   has   not   noticed   vaginal   dryness. She   has   three   children   and   has   used   the   progesterone   only   pill   for   contraception   for   5   years. Her   last   smear   test...

  History A   31-year-old   woman   has   been   trying   to   conceive   for   nearly   3   years   without   success.   Her last   period   started   7   months   ago   and   she   has   been   having   periods   sporadically   for   about 5   years.   She   bleeds   for   2–7   days   and   the   periods   occur   with   an   interval   of   2–9   months. There   is   no   dysmenorrhoea   but   occasionally   the   bleeding   is   heavy. She   was   pregnant   once   before   at   the   age   of   19   years   and   had   a   termination   of   pregnancy. She   had   a   laparoscopy   several   years   ago ...