3 - Gynae - The Uterus and its abnormalities - Adenomyosis Flashcards Preview

CP2 > 3 - Gynae - The Uterus and its abnormalities - Adenomyosis > Flashcards

Flashcards in 3 - Gynae - The Uterus and its abnormalities - Adenomyosis Deck (5):
1

what is adenomyosis? most common when? ass w what? what happens after menopause?

endometriosis interna - endometrium and underlying stroma present within myometrium
~40yo
fibroids and endometriosis
Sx subside

2

path/aet - extent = ?
-what happens in severe cases?

the extent is variable
severe - pockets of menstrual blood in myometrium of hysterectomy specimens

3

Clinical features
Hx - Sx?
Ex - uterus?
Ix - not easily seen on ?? but seen on ??

Sx poss absent - painful reg heavy menstruation common
uterus mildly enlarged and tender
USS but seen on MRI

4

MGMT
- what may control dysmenorrhea and HMB?
-what often needed?
-some women have what? why?

prog IuS or COCP w/wo NSAIDs
often need hysterectomy
some have trial on GnRH analogues - to determine if hysterectomy will improve Sx

5

this condition is dependent on?
effects on fertility?

fertility effects unclear
oestrogen dependent

Decks in CP2 Class (339):