Gynecology Facts from Previous Papers

·         The literature does not support an increased risk of squamous cell carcinoma of the cervix in women who smoke.

·         For postcoital testing, sexual intercourse should be done on which day of menstrual cycle – Day 14

·         OCPs – Oral contraceptive pills give protection against the following conditions :

THE COBRAS UFO POEM

1. T = Thyroid autoimmune disorders

2. H = Hirsutism

3. E = Endometrial carcinoma

4. C = Colorectal cancer

5. O = Ovarian cancer

6. B = Benign Breast diseases ( fibroadenosis )

7. R = Rheumatoid arthritis

8. A = Anemia and Acne

9. S = Salpingitis ( PID )

10. U = Uterine cancer

11. F = Fibroids ( exception is submucous variety )

12. O = Ovarian cysts

13. P = Pelvic inflammatory disease

14. O = Osteoporosis and Osteopenia

15. E = Ectopic pregnancy

16. M = Mittelschmerz , Menorrhagia , Dysmenorrhea , Premenstrual Tension , Polymenorrhea .

Other important points to be remembered about OCPs is that their extensive use leads to a few diseases like :

1. Cancer cervix

2. Breast cancer

3. Pituitary adenoma

4. Hepatic adenoma

·         absolute contraindications of oral contraceptive pills:

ü  carcinoma of breast and genitals

ü  congenital hyperlipidemia

ü  porphyria

ü  cardiac abnormalities

ü  moderate to severe hypertension

ü  previous or present history of thromboembolism

ü  undiagnosed abnormal uterine bleeding

ü  impending major surgery to avoid post operative thromboembolism

ü  liver diseases , hepatoma or history of jaundice during past pregnancy 

·         conditions in which GnRH analogues are used :

ü  adenomyosis

ü  irritable bowel syndrome

ü  carcinoma breast

ü  DUB

ü  endometriosis

ü  fibromyoma uterus

ü  hirsutism

ü  infertility

ü  precocious puberty