Uterine Fibroids Flashcards
1
Q
Formal name, and subtypes
A
Leiomyoma. Subserosal, submucosal
2
Q
RF
A
Obesity, early menarche, increase age, fam hx, afrocarrib.
3
Q
Presentation
A
Menorrhagia, pelvic pain, pelvic pressure, subfertility.
4
Q
Investigations
A
Pelvic US
FBC
Pregnancy test
MRI if sarcoma suspected.
5
Q
Outline medical managements
A
Tranexamic acid
HRT such as IUS Mirena coil or COCP/POP
GnRH analogue (zolidex)
Ulipristal
Both of these mainly for pre surgical
6
Q
Surgical Management
A
Indicated if medical management no responses, pressure symptoms, XS uterine size.
Surgical myomectomy or hysterectomy. Can be abdominal or laprascopic.
Uterine artery embolisation
7
Q
Complications
A
Iron defeciency, urinary incontinence due to increase pelvic pressure, problems during pregnancy (miscarriage, fetal PPH, prematurity)
