Endometriosis Flashcards Preview

Reproductive Medicine Exam 3 > Endometriosis > Flashcards

Flashcards in Endometriosis Deck (15)
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1
Q

Endometriosis is a _____ (malignant/benign) condition in which endometrial glands and stroma are present ______ (outside/inside) the uterine cavity and walss

A

Benign

Outside

2
Q

The typical endometriosis patient is in her _____ (50’s/30’s), ______ (multi/nulli)-parious, and ______ (fertile/infertile)

A

30’s

Nulliparous

Infertile

3
Q

How do the following theories of endometriosis pathogenesis vary…..

Sampson’s Theory
Meyer’s Theory
Halban’s Theory

A

Sampon’s: Endometrial fragments transported through fallopian tubes at time of menstruation and implant at intraabdominal sites

Meyer’s: Mulleriean metaplastic transformation of pelvic peritoneum

Halban’s: Substances released/shed from endometrium induce formation of endometriosis

4
Q

What is the classic triad of endometriosis?

A

Dysmenorrhea
Dyspareunia
Dyschezia

5
Q

T/F: Infertility may be a presenting symptoms in endometriosis

A

True

6
Q

What may be elicited on a pelvic examination in a patient with endometriosis?

A

Cul-de-sac/Uterosacral Nodularities

Tender, fixed adnexal mass

Uterus retroverted

7
Q

What may be seen on US in a patient with endometriosis?

A

Adnexal mass of complex echogenicity, internal echoes consistent with blood

8
Q

What is the MOST DEFINITIVE diagnostic method for endometriosis?

How does it appear?

A

Direct Visualization via laparoscopy

There may be the presence of lesions on the endometrium (black, red, brown, yellow, pink, white, etc…)

9
Q

T/F: There is a clear relationship between stage, frequency, and severity of pain symptoms in endometriosis

A

False

There is NO clear relationship between those three

10
Q

What is considered 1st line in endometriosis treatment?

A

NSAIDs
OCPs
Progestins

11
Q

What is considered 2nd line in endometriosis treatment?

A
Mirena IUD
GnRH Agonists (Lupron)
12
Q

Before giving a GnRH Agonist, like Lupron, what most be done first?

A

Laparoscopy

13
Q

Endometriomas greater than ___ cm should be excised surgically.

A

> 3 cm

14
Q

What is the MOST DEFINITIVE management option for endometriosis?

A

Hysterectomy

15
Q

T/F: In all women, minimization of menstrual flow and suppression of ovarian cycling can reduce the risk for endometriosis.

A

True