Uterine Pathology Flashcards
which 2 organisms are most commonly associated with PID
chlamydia (1) and gonorrhoea
can conctraception increase the risk of PID?
yes, the IUD can cause it
what is chronic endometriosis characterised by
the presence of plasma cells in the stroma
do endometrial polyps cause symptoms?
they are often asympomatic, but can cause bleeding and dishcarge
when do endometial polyps usually occur
around and after menopause
are endometrial polyps serious?
they are almost always benign, but endometrial carcinoma can also present as a polyp
what is the most common benign uterine tuomur
uterine fibroids (leiomyoma)
what are leiomyomas composed of
mainly smooth muscle (myometrial origin), and fibrous connective tissue
do uterine fibroids respond to hormones?
yes, grow more during pregnancy etc
how do uterine fibroids tend to present
they are often an asymptomatic finding
uterine bleeding (heavier periods etc) or symptoms sedcondary to pressure on bladder adn rectum
what are teh consequences of uterine fibroids casuing distortion of the uterus
miscarriage or infertility - this is uncommon
investigations of uterine fibroids
US
endometrial biopsy to check for malignancy
what are the most common sites for endometriosis
pelvic peritoneum and the ovaries
does the abnormal tissue in endometriosis behave like normal endometrium?
yes, it thickens and bleeds in response to hormones
what are the common symptoms of endometriosus
chronic worsening central pelvic pain
dysmenorrhoea
dyspareunia
abnormal bleeding
