5 - Gynae - The Ovary and its disorders - Ovarian Sx + Disorders of Ovarian Funciton

Question 1

ovarian masses are often ?
how detected ?
what is an ovarian cyst accident?

Answer 1

silent
when v large > distension or on USS

rupture of contents of ovarian cyst into peritoneal cavity causing acute presx for intense pain

Question 2

which cysts esp give intense pain if ruptured?

peritoneal cavity haemorrhage occasionally so severe > ??

Answer 2

endometrioma or dermoid cyst

hypovolaemic shock

Question 3

Torsion of the pedicle > ? of the ovary +/- the ? and gives women what Sx? what trt is needed and when?

Answer 3

infarction
tube
intense pain
urgent surgery and detorsion needed to save ovary

Question 4

3 disorders of ovarian fx?

Answer 4

PCOS, prem menopause, problems of gonadal dev

Question 5

PCOS - is it common? 3 main clinical features? 3 characteristics of usual cysts seen?

Answer 5

yes
subfertility, oligomenorrhea, hirsutism

cysts usually small, multiple, poorly dev follicles

Question 6

Premature menopause - define?

problems of gonadal dev - most common condition? includes gonadal ?

Answer 6

LMP < 40y
turners
gonadal dysgenesis