Pelvic Pain Flashcards
(37 cards)
What is the difference in symptoms between a Batholin’s cyst and a Bartholin’s abscess?
Cyst = painless Abscess = painful
What is the main treatment for a Bartholin’s abscess?
Broad spectrum ABX
Define Lichen Sclerosus
AI condition affecting post-menopausal women
Give 2 symptoms of Lichen Sclerosus
Pruritis
Excoriation
Give 2 signs of Lichen Sclerosus
Whitened vulva
Narrow entry to vagina
What is the treatment for Lichen Sclerosus ?
Potent topical steroid (Dermovate)
Which virus usually causes genital herpes?
HSV-2
What is the main treatment for genital herpes?
Oral acyclovir
What causes cervical ectropion?
Columnar cells from canal everted to cervix
Give 2 ways in which a symptomatic cervical ectropion may be treated
Cautery
Silver nitrate
Although usually asymptomatic, give 2 possible symptoms of cervical polyps
PCB
PMB
What is a uterine fibroid?
Benign tumours of myometrium which are oestrogen dependent
How is a uterine fibroid diagnosed and worked up?
Dx on clinical suspicion
Confirm on USS
MRI to plan management
Which 2 surgeries may be used to manage a uterine fibroid?
Myomectomy
Hysterectomy
What is UAE in the management of uterine fibroids?
Uterine Artery Embolization: minimally invasive, UAs occluded by bio-degradable particles
Define PID
Ascending infection from the cervix which can be caused by STIs
Which STI commonly causes PID?
Chlamydia
Give 4 tests used in the diagnosis of PID
- FBC + CRP
- MSSU (exclude UTI)
- STI swabs
- TVU (for tube-ovarian abscess)
Which 2 antibiotics are used to treat PID?
Doxycycline and Metronidazole
What is a potential management option in symptomatic hydrosalpinx?
Bilateral salpingectomy
What are the 4 main types of benign ovarian cyst?
Functional
Dermoid
Epithelial
Endometrioma
What are the general thresholds for ovarian cyst removal by surgery?
> 6cm and/or symptomatic
What is the treatment of a dermoid cyst?
Cystectomy/oophrectomy
What are the two subtypes of function cyst?
Follicular and luteal
