Endometriosis

Question 1

abnormal growth of extrauterine endometrial cells often in the culdesac of the peritoneal cavity or in the uterine ligaments or ovaries

Answer 1

Endometriosis

Question 2

endometriosis occurs in what age

Answer 2

20-40 years

Question 4

Endometriosis most commonly involve

Answer 4

ovaries
fallopian tubes
tissue lining in pelvis

Question 5

Endometriosis chronic disease associated with:

Answer 5

1. sever, life impacting pain during periods
2. pain during sexual intercourse
   3.painful bowel movements/urination
   4.chronic pelvic pain
3. abdominal bloating
   6.nausea
   7.fatigue
   8.depression,anxiety and fertility

Question 6

Endometriosis probable cause

Answer 6

1. retrograde menstrual flow
   2.genetic factors
   3.immune system problems
   4.hormones
   5.surgery (cs or hysterectomy)

Question 7

Endometriosis increase risk factors

Answer 7

1.early menarche (before age 11)
2.short menstrual cycle ( less than 27 days)
3.heavy bleeding (>7 days)
4.nulliparity
5. low body mass index
6.family history of endometriosis

Question 8

Endometriosis can lower risk factors

Answer 8

1.pregnancy
2.periods started late in adolescence
3.breastfeeding
4.eating more fruit (citrus fruits)

Question 9

clinical manifestation of endometriosis

Answer 9

1.painful periods (dysmenorrhea)
2.menorrhagia
3.pelvic pain
4.dyspaneuria
5.pain with bowel movements/urination
6.infertility
7.bleeding or spotting between menstrual period
8.fatigue,diarrhea,constipation,bloating or nausea

Question 10

pain may be most noticeable

Answer 10

1.during a period
2.during or after sex
3. when urinating/defacating

Question 11

diagnosis for endometriosis

Answer 11

1.pelvic exam (feel cysts or scars) tender,fixed,palpable nodules
2.imaging exam
3.laparoscopy
4.biopsy

Question 12

may reduce the amount of extrusion into the peritoneal cavity because the tissue sloughs under the influence of the progesterone

Answer 12

Estrogen/progesterone based oral contraception

Question 13

synthetic androgen can be prescribed to help shrink the abnormal tissue

Answer 13

Danazol (Danocrine)

Question 14

relieve the pain
stopping the release of prostaglandins

Answer 14

Non steroidal anti-inflammatory drugs
ibuprofen/naproxen

Question 15

may slow tissue growth and prevent new tissue from forming

Answer 15

lab-made hormone

Question 16

with hormonal contraceptives many people experience

Answer 16

lighter
shorter period
increase pain relief

Question 17

hormonal contraception

Answer 17

birth control pills
patches
shots
vaginal rings

Question 18

agonist and antagonist block the menstrual cycle and reduce estrogen levels

Answer 18

Gonadotropin-releasing hormone

Question 19

progestin therapy

Answer 19

IUD

Question 20

lower estrogen levels in the body

Answer 20

Aromatase

Question 21

minimal invasive procedure
most common approach
treats mild to severe cases
small incision in abdomen
insert a tiny tube with camera and lught

Answer 21

laparoscopy

Question 22

precise,can reduce bleeding, can be done on outpatient basis

Answer 22

laser surgery

Question 23

most effectjve measure
highly invasive procedure

Answer 23

laparotomy with excision by laser surgery

Question 24

open surgery
more invasive
large incision
performed when condition is severe

Answer 24

Laparotomy

Question 25

surgical removal of the uterus and is sometimes used to treat endometriosis, pelvic pain. adenomyosis, and fibroids. These conditions can cause painful menstruation, heavy bleeding, and irregular periods. If endometriosis is present, the surgeon will remove it during the procedure to prevent persistent symptoms. -help relieve endometriosis pain, but not a cure. -only considered when other treatments haven't worked.

Answer 25

hysterectomy

Question 26

often viewed as a permanent solution to their chronic pelvic pain. For many women, this is the case however, there will be a small number of women who will experience a recurrence of their symptoms after "definitive" surgery

Answer 26

Hysterectomy

Question 27

a surgery to remove the ovaries • can help relieve endometriosis pain • considered usually as last resort, when other treatments failed

Answer 27

Oophotectomy

Question 28

indication for surgery

Answer 28

1.chronic or severe pelvic pain 2.medication no longer relieves endometriosis symptoms 3.difficulty getting pregnant

Question 29

post operative care

Answer 29

1. redness around scars 2.fever above 38C 3.excruciating pain that does not go away with medicine 4. unusual bleeding around wounds 5. avoid doing any kind of abdominal activity or lifting more than ten pounds 6.avoid using tampons,douching,sexual activity for around six weeks

Question 31

prevention

Answer 31

1.consume more fiver and less fat in diet 2. incorporate omega 3 fatty acids 3. regular physical activity 4. avoid excessive alcohol and caffeine 5.use hormonal birth control methods 6.early diagnosis and management