Uterine Fibroids Flashcards

1
Q

Formal name, and subtypes

A

Leiomyoma. Subserosal, submucosal

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2
Q

RF

A

Obesity, early menarche, increase age, fam hx, afrocarrib.

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3
Q

Presentation

A

Menorrhagia, pelvic pain, pelvic pressure, subfertility.

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4
Q

Investigations

A

Pelvic US
FBC
Pregnancy test
MRI if sarcoma suspected.

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5
Q

Outline medical managements

A

Tranexamic acid

HRT such as IUS Mirena coil or COCP/POP

GnRH analogue (zolidex)
Ulipristal
Both of these mainly for pre surgical

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6
Q

Surgical Management

A

Indicated if medical management no responses, pressure symptoms, XS uterine size.

Surgical myomectomy or hysterectomy. Can be abdominal or laprascopic.

Uterine artery embolisation

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7
Q

Complications

A

Iron defeciency, urinary incontinence due to increase pelvic pressure, problems during pregnancy (miscarriage, fetal PPH, prematurity)

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