Flashcards in Uterine Disorders Deck (33)
What mullerian disorder of the uterus is most commonly seen with pregnancy loss?
What uterine anatomical change is frequently associated with mid-trimester loss of pregnancy of pre-term birth?
Bicornuate or Unicornuate Uterus
How do vaginal septums occur?
Incomplete canalization of the mullerian tubercle
When to vaginal septums typically present?
Typically around puberty due to pelvic mass or amenorrhea
What imaging study is useful in diagnosing uterine and tubal disorders?
__________ Syndrome results commonly from intrauterine synechiae (adhesions) usually due to recurrent curettage
T/F: Patients requiring recurrent curettage due to miscarriage or elective pregnancy termination are more at risk for Asherman's Syndrome
_____ _________ is inflammation of the endometrial lining that typically occurs from an ascending infection (Gc/Chl) from the lower genital tract
T/F: In non-pregnant population, endometritis is most commonly associated with Pelvic Inflammatory Disease
Are endometrial polyps typically benign or malignant?
How are benign endometrial polyps diagnosed?
Tx: Hysteroscopic Resection
_____ ______ is described as the presence of ectopic endometrial glands and stroma in the myometrium which typically presents in parous women between the ages of 35-50 y.o.
How may a uterus feel/appear on physical examination in a patient with Adenomyosis?
Diffusely enlarged, globular, tender uterus
How is adenomyosis diagnosed?
US or MRI
How is adenomyosis managed?
1. r/o co-esistent pathology
2. NSAIDs +/- Hormones
What is the most common solid pelvic tumor in women?
What is a Leiomyoma Uteri?
Benign tumors of smooth muscle origin
T/F: The majority of Leiomyoma Uteri are symptomatic
The majority are asymptomatic
Although Leiomyoma Uteri is asymptomatic.....
What would the most common symptom be at presentation?
What imaging modality is commonly used to work up Leiomyoma Uteri?
(MRI is occassionally used)
How is asymptomatic Leiomyoma Uteri managed?
No treatment required
What is the goal of management for symptomatic Leiomyoma Uteri?
Control Hormonal Regulation and minimize unopposed estrogen
Will OCPs shrink uterine fibroids?
What medication class have shown to reduc uterine bulk from Leiomyoma Uteri?
What is the only viable management option for Leiomyoma Uteri in women who wish to preserve fertility?
What is the most DEFINITIVE management for Leiomyoma Uteri?
A 49 y/o female patient presents for routine gyne exam. She reports that for the last 6 months her menses have been getting longer and heavier. She also says she has been experiencing urinary frequency and constipation. Her abdominal exam is unremarkable. On pelvic exam, you feel a slightly enlarged irregular uterus and a left adnexal mass that moves with the uterine fundus. No other clinical findings. What is the most likely diagnosis?
What is the most common etiology of endometrial hyperplasia?
What is the biggest risk factor for endometrial hyperplasia?