07. Endometriosis

Question 1

Endometriosis definition

Answer 1

Presence of endometrial tissue outside the uterine cavity

Question 2

Hormone influencing endometriosis

Answer 2

Estrogen-dependent

Question 3

% of female population with endometriosis

Answer 3

10% (almost exclusively reproductive ages)

Question 4

MC s/sx of endometriosis

Answer 4

Dysmenorrhea; Dyspareunia; Pelvic pain, infertility. NOT COMMONLY associated with LEIOMYOMAS

Question 5

What determines symptoms?

Answer 5

Depend on localization of endometriosis, depth of infiltration and if condition is complicated by adhesions

Question 6

Typical endometrosis locations

Answer 6

Ovarian; Retrocervical; Deep bowel; Bladder; Abdominal wall

Question 7

Gold standard for endometriosis dx

Answer 7

Laparoscopy

Question 8

Other helpful imaging studies for endometriosis work up

Answer 8

MRI- helps determine depth of infiltrating endometriosis, esp when laparoscopy limited d/t adhesions

Question 9

Endometriosis tx

Answer 9

Based on extent of dz, symptoms & parity.
Medications - NSAIDs; OCPs; Progestin only meds; GnRH agonists
Surgery - Removal of endometriosis implants; recurrence rate of 40-8-%
Hysterectomy/Oophorectomy - Last resort