Week 1 Q+A

Question 1

does TVUS measurement of endometrial thickness include myometrium?

Answer 1

• No
• just endometrium (thin white line in uterus)

Question 2

what typical ages for molar pregnancy?

Answer 2

• extremes of age i.e. very young or very old

Question 3

how many chromosomes would you see in a partial mole?

Answer 3

• 69
• 23+23+23

Question 4

partial mole creates a fetus? true or false?

Answer 4

• non-viable fetus

Question 5

a complete mole creates a fetus? true or false?

Answer 5

• no fetus
• 2 sets of paternal genes and no maternal genes
• 46 chromosomes

Question 6

typical appearance of a molar pregnancy?

Answer 6

• snowstorm appearance
• lots of vesicles inside uterus

Question 7

what type of pregnancy is this?

Answer 7

• partial molar pregnancy

Question 8

how does oestrogen work?

Answer 8

• helps thicken lining of the womb to prepare the uterus to carry a pregnancy

Question 9

hoe does progesterone work?

Answer 9

• differentiates endometrium by stimulating the growth of blood vessels that supply the lining of the womb (endometrium) and stimulates glands in the endometrium
• it also prohibits muscle contractions in uterus that would cause the body to reject an egg
• if the egg isn’t fertilized, corpus luteum breaks down, leading to a drop in progresterone levels. endometrium breaks down = beginning of menstrual period

Question 10

ovulation induction tx in those with PCOS?

Answer 10

• clomid
• gonadotrophins
  -> downsides multiple stimulation could end up cancelling them
• laparoscopic ovarian drilling - mono ovulation - therefore multiple pregnancy is low

Question 11

disadvantages to laparoscopic ovarian drilling

Answer 11

• surgical risk

Question 12

how does a copper coil work?

Answer 12

• copper alters the cervical mucus, which makes it more difficult for sperm to reach an egg and survive
• prevents implantation

molecularly
- increases level of copper ions in uterine and tubular fluid
- increased level of prostaglandin levels
- increased WBC’s
- make it difficult for sperm to penetrate

Question 13

how does pure oestrogen work to suppress ovulation in tx of PMD?

Answer 13

• oestrogen help and alleivates symptoms by suppressing ovulation - reducing LHRH, reducing FSH/LH and preventing follicular development

Question 14

rectovaginal endometriosis pain peaks at what point?

Answer 14

• starts around a week before menstruating and pain peaks during menstruation