endometriosis

Question 1

oestrogen dependant?

Answer 1

yes and it resolves after menopause

Question 2

vaginal examination

Answer 2

thickening or nodularity of the uterosacral lig
tenderness in pouch of Douglas
adnexal mass
fixed retroverted uterus

Question 3

ix

Answer 3

transvaginal us-can detect gross endometriosis involving ovaries
mri->5mm in size
laparoscopy-red,puckered,black matchstick or white fibrous lesion

Question 4

medical mx

Answer 4

analgesics
COC
progestogens-when there are risk factors use of COC
danazol/gestrinone-not commonly used bcz of androgen effects
GnRH-A

Question 5

surgical mx

Answer 5

conservative surgery-laparoscopic surgery with techniques such as diathermy,laser vaporization or excision.recurrent 30% need long term medical therapy

definitive surgery-hysterectomy and bilateral salpingo-oophorectomy

Question 6

definition

Answer 6

endometrial tissue lying outside the endometrial cavity
-endometriotic tissue responds to cyclical hormonal changes > undergoes cyclical bleeding and inflammatory reaction> adhesion causing pain n infertility