Endometriosis Flashcards
1
Q
What are the clinical features of endometriosis?
A
- chronic pelvic pain
- pain starting days before period starts
- deep dyspareunia
- dysmenorrhoea
2
Q
What is the gold standard investigation for endometriosis?
A
Laparoscopy
3
Q
What is the step-wise management of Endometriosis (for symptomatic relief)?
A
- NSAIDs and paracetamol
- COCP, POP or medroxyprogesterone acetate
4
Q
If analgesia/hormonal treatment does not improve symptoms, or if fertility is a priority - what is the management plan?
A
GnRH analogues - they induce low oestrogen levels
Surgery - laparoscopic excision or ovarian cystectomy for endometriomas
5
Q
What is endometriosis defined as?
A
the growth of ectopic endometrial tissue outside of the uterine cavity
6
Q
What does a ruptured endometrioma usually present like?
A
Acute abdomen (pain)
Pelvis is fluid filled on Ultrasound
