Endometriosis Flashcards

1
Q

Risk Factors

A

Early menarche
Fam Hx
Short cycles
Long, heavy bleeds

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2
Q

Presentation

A

Menorrhagia, pelvic pain, dyspareunia, dysuria, dysmenorrhoea.

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3
Q

Examination

A

Fixed, retroverted, uterus.
Post fornix tenderness
Utero-sacral ligament nodule
General tenderness

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4
Q

Investigations

A

USS Pelvis to assess severity of endometriosis.

Gold standard is laparoscopy. Finding chocolate cysts.

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5
Q

Treatment

A

COCP for 6-12 months or progesterone only pill. Causes atrophy of the lesions.

Laprascopic surgery and laser ablation.

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