terminology & tests

Menstrual Terminology

  • Monarchy (historical term for menarche) and its etymology

    • meno = month; arche = beginning; therefore first menstruation or first monthly flow

    • Menstruation (Latin menstrualis) = monthly period

  • Puberty

    • Involves monarchy (menarche) plus appearance of secondary sexual characteristics (body hair, hip broadening, breast development)

    • Reproduction becomes possible with puberty; monthly ovulation is expected with monarchy in theory

  • Precocious puberty

    • Puberty and menarche occurring before age

    • 9 years is the typical lower bound; puberty before 9 is termed precocious puberty

  • Premature vs precocious terminology

    • Precocious: puberty before the usual age (e.g., before 9)

    • Premature: occurring before the usual time (synonymous in some contexts here, but keep context-specific definitions in notes)

  • Menopause

    • End of reproductive years; defined as 12 consecutive months without menses after which menopause is confirmed

    • Mentions that menopause is a “rest” from menstruation; should not resume thereafter

  • Perimenopause

    • The transition period around menopause; bleeding patterns can be unpredictable (stopping and starting; heavy or light bleeding fluctuations)

  • Amenorrhea (absence of menses)

    • Prefix a- = without/not; “meadow” relates to menstruation; therefore amenorrhea = without monthly flow

    • Primary amenorrhea: no menarche by expected age; e.g., delayed onset; gymnasts with low body fat may have delayed monarchy due to lower estrogen

    • Secondary amenorrhea: prior menstruation but cessation for ≥

    • Physiologic amenorrhea: normal bodily states causing absence of menses (pregnancy, lactation, postmenopausal state)

  • Normal menstrual cycle definition (in this course)

    • Normal cycle length: 28 days

    • Bleeding window: roughly 5 days within the cycle

    • Annual cycles: about 13 cycles per year (based on 365 days)

  • Abnormal menstrual cycle terms by frequency and duration

    • Polymenorrhea (poly- = many): cycle length < 21 days; many cycles per year (≥ ~17 per year)

    • Oligomenorrhea (oligo- = few): cycle length > 35 days; ≤ ~10 cycles per year

  • Abnormal flow and duration terms

    • Hypomenorrhea: ↓ menstrual blood flow or shorter periods; bleeding volume is below normal

    • Hypermenorrhea/menorrhagia: ↑ menstrual blood flow; more blood during the cycle

    • Metrorrhagia (metrorrhagia/menometrorrhagia) = irregular/spotty bleeding between periods or longer/irregular bleeding

    • Menometrorrhagia: combination of heavy flow and bleeding between cycles (longer and heavier cycles)

  • Painful periods

    • Dysmenorrhea: painful menstruation (cramps)

    • Primary dysmenorrhea: painful periods with no identifiable cause

    • Secondary dysmenorrhea: painful periods with identifiable pathology (e.g., endometriosis)

  • Endometriosis and example discussion

    • Ectopic endometrium tissue responds to ovarian hormones; can cause severe dysmenorrhea; example anecdote about patient describing painful periods

  • Quick review prompts (sample questions appearing in slides)

    • One year after last menstrual period term: menopause

    • Shorter or lighter periods: hypomenorrhea

    • Excessive flow and bleeding between periods: combine terms such as meno- and metro- terms to describe the situation

    • Painful periods: dysmenorrhea

    • Excessive flow with normal duration: hypermenorrhea or menorrhagia depending on context

    • Longer period with heavy bleeding: metroraja (metrorrhagia with heavier blood volume)

  • Summary of cycle terminology

    • 28-day cycle; typical bleeding window ~5 days; 13 cycles/year

    • Polymeria: more frequent cycles per year; cycles < 21 days

    • Oligomenorrhea: fewer cycles; cycles > 35 days; ≤10 cycles/year

    • Hypermenorrhea/menorrhagia: extra blood per day or overall more blood; metroraja: longer or bleeding between periods

    • Dysmenorrhea: painful periods; primary vs secondary; endometriosis is a common secondary cause

Gynecological History

  • Purpose of gynecological history

    • Identify why ultrasound is ordered (clinical question) and any previous results

    • Gather context for the test beyond what the requisition states

  • Sources of information

    • Requisition: lists the test and indications (e.g., hypermenorrhea); not always perfectly accurate

    • Medical chart: hospital records; prior tests and interventions

    • Patient interview: essential for context; helps tailor the exam and internal examination decisions

    • Role-play example: messy history writing by support staff may misrepresent clinical findings; always verify with patient

  • Requisition example and cautions

    • Requisition may state a diagnosis such as hypermenorrhea or other terms; do not assume the term is accurate—verify with patient and chart

  • Importance of patient conversation and listening

    • Speaking with the patient can uncover important details missed on forms

    • The goal is to obtain a complete clinical picture while respecting patient comfort

  • Information access in hospital systems

    • PACS: Picture Archiving and Communication System; stores imaging (MRI, CT, X-ray, ultrasound) and allows cross-site viewing of prior studies

    • Access levels may vary; in many places, clinicians can access prior ultrasound, MRI, etc., to guide current ultrasound interpretation

  • Requisites and exam workflow notes

    • Examples of information you might collect include age, reproductive history, prior pregnancies, prior surgeries, medications, and family history where relevant

    • Always prioritize patient safety, consent, and privacy; do not assume information is accurate from forms alone

Reproductive History: Gravity, Parity, and GTPAL

  • Key definitions

    • Gravity (G): number of pregnancies, including the current one if applicable

    • Parity (P): number of pregnancies that reached viability (roughly 20–24 weeks) and resulted in a birth, regardless of live birth status

    • Viability threshold used in notes: generally around 20–24 weeks for counting parity

  • Simple method: G and P

    • Example: G2P2 means two pregnancies with two pregnancies reaching viability (live or stillborn), previous pregnancies counted, current pregnancy not yet included in parity

    • Important caveat: parity does not count non-viable pregnancies; twins count as a single parity event

  • GTPAL method (more detailed)

    • G = Gravidity (all pregnancies, including current)

    • T = Term deliveries (> 37 weeks)

    • P = Pre-term deliveries (between 20 and 37 weeks)

    • A = Abortions (pregnancies ending before viability, historically < 20 weeks; some contexts use <= 20 weeks)

    • L = Live births (number of living children at birth; not the number of pregnancies)

  • Practical notes and examples

    • Current pregnancy: counted in G but not in P/T/A/L until viability is confirmed

    • Ectopic pregnancy: pregnancy status is counted in G but viability for parity is not assumed; ectopics are rarely viable

    • Stillbirth: counted as a pregnancy for G but not as a live birth (L)

    • Miscarriage: counted as an abortion (A) if occurring before viability; not a live birth

    • Twin pregnancies: one pregnancy event but parity may reflect number of live births; per hospital policy, parity can be counted as one or more depending on system conventions (often one for parity despite twins)

  • Example walkthroughs

    • Simple method example: a patient not currently pregnant with two prior singleton pregnancies and two live births would be G2P2

    • Current pregnancy example: if a patient is pregnant and had two prior pregnancies with two live births, the GTPAL string might reflect G3T2P0A0L2 depending on outcomes; the precise formatting varies by institution

    • Ectopic pregnancy example: a patient with a prior ectopic pregnancy (not viable) would still have GxP0A1 in certain contexts; GTPAL would reflect A for abortion/miscarriage; L remains the count of live births

  • Important clinical note

    • Different institutions may record parity differently (e.g., some count twins as one pregnancy for parity; others count based on outcomes). Manitoba practices (as described) count parity as the number of pregnancies that reached viability, not the number of live births

    • Always confirm reproductive history coding with the clinical site and the patient to ensure consistent interpretation

Menstrual History

  • Core questions in menstrual history

    • When did the last normal menstrual period begin? Start date anchors the counting clock

    • Do you have a regular cycle? Regularity; timing consistency

    • How long do you bleed? How heavy is the flow? Is there spotting?

    • Any associated symptoms (pain, mid-cycle ovulation symptoms, etc.)

    • Pregnancy status and prior pregnancy history when relevant

  • Practical approach

    • Start the 28-day cycle clock at the first day of bleeding to standardize cycle calculations

    • Consider cycle irregularities when planning imaging and interpretation

    • Use the information to contextualize ultrasound findings (e.g., ovulatory status, endometrial thickness expectations)

Pregnancy Tests: Urine vs Blood (Qualitative vs Quantitative)

  • Types of tests

    • Urine pregnancy test (qualitative): detects presence or absence of hCG; usually reported as positive/negative or +/-

    • Blood pregnancy test (serum): beta-hCG quantitative; reports concentration in ext{mIU/mL}; uses International Units (IU)

  • Key concepts

    • hCG (human chorionic gonadotropin) is produced by trophoblastic cells; rises after fertilization and implantation

    • Urine tests are qualitative (yes/no for pregnancy hormone)

    • Serum tests are quantitative (provides a numeric concentration of hCG; helps track pregnancy progression)

  • Units and standard references

    • hCG concentrations are reported in ext{mIU/mL} (often written as mIU/mL or mIU/mL)

    • International Reference Preparation (IRP) vs Second International Standard affect numeric values; a table value may be double depending on the standard used

    • If a lab reports 2,000 mIU/mL using IRP, the corresponding value with Second International Standard would be ~1,000 mIU/mL; always check the standard used

  • Discriminatory zone (β-hCG) for intrauterine pregnancy visualization by EVS (endovaginal sonography)

    • Commonly cited threshold around 1,700 to 2,000 ext{ mIU/mL} (values vary by source)

    • If β-hCG is ≥ the discriminatory zone and no intrauterine gestational sac is seen on ultrasound, consider ectopic pregnancy or very early intrauterine pregnancy; correlation with clinical signs is essential

  • Gestational timing and ultrasound correlation

    • Gestational sac in uterus (intrauterine) generally visible by EVS when β-hCG is above the discriminatory zone

    • EVS detection of an intrauterine gestational sac is typically around 4.5 ext{ weeks} to 5 ext{ weeks} post-fertilization, though individual variation exists

  • When results are available and interpretation tips

    • Qualitative urine tests: positive means pregnancy is present; negative means not pregnant at that time

    • Quantitative serum β-hCG: track the concentration over time; normally doubles every 2–3 days in early pregnancy; plateauing or slower rise may suggest non-viable pregnancy, ectopic pregnancy, or other complications

    • Serial measurements help determine pregnancy viability and progression

  • Practical notes for sonographers

    • Ask patients about whether pregnancy tests were performed, and whether results are urine-based or blood-based

    • If blood-based, note the concentration and date; compare with expected doubling timeline

    • If an early pregnancy is suspected but ultrasound is negative, consider the discriminatory zone and repeat testing as indicated

  • Home pregnancy tests

    • Typically qualitative; widely available; accuracy around ~99 ext{ extpercent} when used correctly

    • Sensitivity varies and user error can reduce accuracy; early testing may give false negatives; follow-up testing recommended if suspicion remains

  • Blood test specifics and interpretation

    • Beta-hCG quantitative tests provide a numeric value rather than a binary result

    • Values reported as ext{mIU/mL}; lab-specific references (IRP vs second standard) affect the numeric value

    • The beta-hCG trend is more informative than a single value; trend helps identify normal progression, miscarriage, or ectopic pregnancy

  • Quick practice questions (conceptual)

    • Qualitative pregnancy tests measure presence/absence of hCG in urine

    • Quantitative pregnancy tests measure concentration of hCG in the blood

    • Beta-hCG is reported as the beta subunit in front of hCG, i.e., eta ext{-hCG}

Palpable Masses in the Pelvis

  • What is a palpable mass?

    • A mass that can be felt during physical examination (palpation); in ultrasound settings, palpation helps localize and characterize the mass for imaging

  • Common palpable pelvic masses

    • Myoma (fibroid): benign uterine mass composed of smooth muscle and collagen; often intra- or extra-uterine; can be pedunculated and palpable; sometimes mistaken for pregnancy

    • Ovarian masses: e.g., septated cysts (internal septations); could be palpated if large enough

    • Hydrosalpinx: fluid-filled fallopian tube; may be palpable if enlarged

    • Pelvic kidney: kidney located in the pelvis rather than in the upper abdomen; palpable as a mass

  • Sonographic approach to palpable masses

    • Confirm presence of the mass with the transducer at the palpated location

    • Determine origin: uterus vs ovary vs other structures

    • Assess morphology: cystic vs solid; measure size; evaluate for septations or complex features

    • Use Doppler to evaluate vascularity

    • Check for associated findings (e.g., hydronephrosis if mass causes ureteral obstruction)

  • Quick reference prompts

    • Palpable mass composed of smooth muscle or connective tissue in the uterus = myoma (fibroid)

    • Palpable mass identified as a fluid-filled tubular structure = hydrosalpinx or hydrocele extension

    • Palpable mass in the pelvis associated with an empty renal fossa = pelvic kidney

    • Palpable mass identified as a pregnancy-filled tube = ectopic pregnancy

Pelvic Pain: History and Differential Diagnosis

  • Broad differential and context

    • Right lower quadrant pain: appendicitis (as a differential; consider other GI or gynecologic etiologies)

    • Ovarian torsion: twisting of the ovary on its stalk, leading to acute pain and potential loss of ovarian function if not promptly treated

    • Pelvic inflammatory disease (PID): infection of uterus, fallopian tubes, ovaries; fever and leukocytosis may be present

    • Endometriosis: ectopic endometrial tissue; cyclical pain; can cause infertility and pelvic pain

    • Ectopic pregnancy: pregnancy implanted outside the uterus; can cause pain and bleeding; requires urgent evaluation

  • Specific conditions and signs

    • Appendicitis: RLQ pain near the appendix; can mimic ovarian etiologies

    • Ovarian torsion: sudden, severe unilateral pain; often with adnexal mass and decreased Doppler flow; urgent management is required

    • PID: fever, leukocytosis; lower abdominal pain, cervical motion tenderness; may lead to adhesions and infertility if untreated

    • Endometriosis: cyclic pain; dyspareunia; potential infertility; may be challenging to diagnose without laparoscopy

  • Practical clinical approach

    • Obtain location, duration, intensity, and quality of pain; determine whether it is constant or intermittent

    • Identify whether there is a palpable mass, menstrual timing correlation, or relation to intercourse (dyspareunia)

    • Assess for pregnancy status and signs of pregnancy or abortion risk

    • Consider associated symptoms (fever, nausea, vomiting, vaginal discharge) and prior similar episodes

Pre-Existing Pathology and Surgery History

  • Pre-existing conditions relevant to imaging

    • Ectopic pregnancies (prior): may affect current risk and imaging interpretation

    • PID history or endometriosis history: informs likelihood of adhesions, endometriotic implants, and pelvic pain patterns

    • Assisted reproductive technologies (ART): IVF etc.; treatments can impact ovarian appearance (multifollicular ovaries during stimulation)

    • Diethylstilbestrol (DES) exposure in utero: can cause abnormally shaped uterus and cervical anomalies; relevant in interpretation of uterine anatomy

    • Asherman syndrome: uterine adhesions that can affect imaging and reproductive outcomes

  • Common surgical histories with gynecologic relevance

    • Endometrial ablation: destroys endometrium to reduce heavy bleeding; may impact endometrial thickness on ultrasound and future imaging

    • Hysterectomy: removal of uterus; imaging focus shifts away from uterine body; possible residual masses or omental adhesions

    • Oophorectomy: removal of the ovaries; affects ovarian size and hormonal milieu; may eliminate ovulation imaging patterns

    • Salpingectomy: removal of a fallopian tube; can alter tubal anatomy and drainage patterns

    • Myomectomy: removal of fibroids while preserving uterus; changes uterine contour and potential adhesions

    • Metroplasty (uteroplasty/hysteroplasty): reconstructive surgery for uterine septum to improve pregnancy outcomes

    • Salpingostomy: opening the tube to remove an ectopic pregnancy while preserving the tube; can have future fertility implications

    • Cesarean section (C-section): uterine scar that can impact future pregnancies and ultrasound assessment

    • Cerclage (cervical suture): stabilizes the cervix in cases of incompetent cervix; may influence internal examination and ultrasound planning

  • Practical implications for ultrasound practice

    • Knowledge of prior surgeries guides expectations for anatomy, potential adhesions, and risk of certain pathologies

    • Some surgeries (e.g., hysterectomy) may limit evaluation of the uterus; shift focus to adnexa or pelvic region

    • Understanding prior interventions helps anticipate post-procedure anatomy and residual structures

Medications and Hormonal Treatments (Hx: Medication)

  • Tamoxifen (used for breast cancer)

    • Can stimulate endometrium and increase endometrial thickness, potentially causing thick cystic endometrium on ultrasound

    • Important to document if patient has a history of breast cancer and tamoxifen use; can influence endometrial appearance

  • Infertility medications

    • Clomiphene (Clomid) and Pergonal (human menopausal gonadotropin) can cause multiple follicle development and ovarian hyperstimulation syndrome (OHSS)

    • Ultrasound may show enlarged ovaries with multiple small follicles during stimulation

  • Oral contraceptives (birth control pills)

    • May result in a thinner endometrium and suppression of dominant follicle development

  • Practical considerations

    • Document current medications and relevant past medications that influence uterine or ovarian appearance or cycle characteristics

Gynecological Tests and Procedures (Overview of Tests)

  • Pregnancy tests

    • Remove patient ambiguity about pregnancy status; CBS includes urine (qualitative) and blood (quantitative) tests

  • Culdocentesis (caldocentesis)

    • Posterior cul-de-sac aspiration for fluid collection; used in specific diagnostic scenarios

  • Laparoscopy

    • A camera inserted through a small abdominal incision to visualize the peritoneal cavity; gold standard for diagnosing endometriosis and adhesions

  • Cervical pap smear (Pap smear/test)

    • Cells scraped from the cervix; used to detect cervical dysplasia and HPV-related changes; often followed by colposcopy if abnormal

  • Colposcopy

    • Visual examination of the cervix using a colposcope; allows targeted biopsy if abnormalities are seen

  • Hysteroscopy

    • Visualization of the uterine cavity with a scope introduced via the cervix; can diagnose intrauterine pathology

  • Dilation and Curettage (D&C)

    • Cervical dilation followed by scraping of endometrium; used for diagnostic sampling or removal of tissue after events like miscarriage

  • Endometrial biopsy

    • Sample of endometrial tissue for histological analysis; used to assess endometrial pathology or hormonal status

  • Hormonal tests (blood analysis)

    • Assess estrogen, progesterone, and hCG to inform cycles and pregnancy status

  • Sono-hysterography (sonohysterography)

    • Ultrasound performed with intrauterine saline infusion to better delineate the endometrial cavity and detect polyps or submucosal fibroids

  • Sono-salpingography (sonosalpingography)

    • Ultrasound assessment of tubal patency using intrauterine or intratubal contrast

  • Hysterosalpingography (HSG)

    • X-ray imaging of the uterus and fallopian tubes after intrauterine dye injection; visualizes tubal patency and intrauterine anatomy

  • Computed Tomography (CT) and Magnetic Resonance Imaging (MRI)

    • CT: cross-sectional imaging with ionizing radiation; good general imaging; newer CT angiography concepts; e.g., post-fibroid embolization imaging

    • MRI: no radiation; high-resolution imaging; detailed pelvic anatomy; strong soft tissue contrast; commonly used for complex pelvic pathology

  • Quick reference for test types (summary)

    • Quantitative vs qualitative tests; e.g., beta-hCG vs home urine tests

    • Invasive tests: culdocentesis, laparoscopy, dilation and curettage, hysteroscopy, hyterosalpingography

    • Imaging-based tests: transabdominal/transvaginal ultrasound; sono-hysterography; sono-salpingography; CT/MRI as needed

Summary: Putting It Together for Practical Ultrasound Practice

  • Always verify requisitions against patient interview and prior charts

  • Use the patient interview to shape the exam and to determine whether internal examination is appropriate or necessary

  • Be aware of common terminologies and their standard definitions in your region (GTPAL vs GTPAL conventions vary by institution)

  • Recognize that labs and imaging have standardized units and reference ranges; always check units (mIU/mL) and reference preparation (IRP vs Second International Standard)

  • When evaluating suspected pregnancy, use serial β-hCG measurements to track progression and correlate with ultrasound findings

  • In cases of pelvic pain or palpable masses, maintain a broad differential; use ultrasound to characterize masses and assess for associated findings (bleeding, adhesions, free fluid, signs of infection or endometriosis)

  • Understand surgical history’s impact on imaging interpretation and future management options

  • Develop effective patient communication: ask about sensitive topics (e.g., intercourse pain) in a professional, non-judgmental way to gather necessary data

  • Be mindful of ethical and practical implications when discussing diagnoses derived from tests (e.g., pregnancy viability, ectopic pregnancy risk, or endometriosis)

  • Review review questions and practice applying GTPAL and related terminology to clinical scenarios to prepare for exams and real-world interpretation

Appendix: Key Notations and Quick Definitions

  • 28-day cycle; 5 days of bleeding; 13 cycles/year

  • Polymeria: cycles < 21 days

  • Oligomenorrhea: cycles > 35 days; ≤ 10 cycles/year

  • Dysmenorrhea: painful menstruation; primary vs secondary

  • Metrorrhagia: bleeding between periods; irregular intervals

  • Menometrorrhagia: heavy bleeding with irregular intervals

  • Beta-hCG: eta-hCG; measured in ext{mIU/mL}; doubling every 2-3 days early in pregnancy

  • Discriminatory zone: common threshold around ext{approx. } 1700-2000 ext{ mIU/mL} for visualization of intrauterine sac by EVS

  • GTPAL: Gravida, Term, Pre-term, Abortions, Live births (detailed parity notation)

  • GTPAL: Gravida, Term, Pre-term, Abortions, Living children (more granular parity including live births)

  • Descriptions of tests and terms (abbreviations): HSG, D&C, DES, IVF/ART, DES exposure, Asherman syndrome, endometrium, myoma, fibroid, hydro/ hydrosalpinx, colposcopy, hysteroscopy, sono-hysterography, sono-salpingography