Gynecologic Oncology

1. Introduction • Pelvic inflammatory disease (PID) is a common cause of morbidity and accounts for 1 in 60 GP consultations by women under the age of 45

Physical exam • HR - 90/min RR - 20/min BP - 130/70 • Lung - ↓ Rt. base • Abdonminal distension / Clinical ascites • Abdominal / Pelvic mass

Definitions Primary amenorrheaFailure of menarche to occur when expected in relation to the onset of pubertal development. • No menarche by age 16 years with signs of pubertal development. • No onset of pubertal development by age 14 years. Secondary amenorrhea • Absence of menstruation for 3 or more months in a perviously mentruating women of reproductive age.