dysmenorrhea Flashcards
1
Q
Endometriosis
A
presence of endometrial tissue outside uterine cavity including ovary,pelvic walls and etc.
under hormonal influence
laparoscopy is gold standard
tx:combined pills,Mirena IUS or surgical approach with laser,diathermy
cl:formation of adhesions, chocolate ovarian cysts, infertility
2
Q
adenomyosis
A
def:presence of ectopic endometrial tissue within myometrium
3
Q
Ix for dysmenorrhea
A
high vaginal and endocervical swabs
pelvic USS
diagnostic laparoscopy
4
Q
mx
A
NSAIDs oral contraceptive LNG-IUS lifestyle changes GnRH analogues heat
5
Q
aetiology
A
endometriosis and adenomyosis
PID
cervical stenosis and haematometra(rarely)
