2020 Endometriosis Flashcards
1
Q
What are the 6 presentations that would make us suspect endometriosis ?
A
Persistent pelvic pain
Period related pain affecting activities and QOL
Dyspareunia
Period related GI symptoms, in particular dyschezia
Period related urinary symptoms, haematuria, dysuria
Infertility in association with one or more of above
2
Q
What other factors should be taken into account when assessing for endo?
A
Circumstances Symptoms Co-existing conditions Priorities Desire for fertility Constrains of daily living, work, study, cultural background, phyiscal, psychosexual and emotional needs
3
Q
Who should be in the MDT?
A
Gynae w expertise in managing endo + lap surg Gyn CNS MDT pain Profession w interest in gyn imaging Fertility services
if DIE
-Colorectal
urologist
advanced diagnostic facilities
4
Q
Pharmacological options
A
Analgesia - 3/12 trial NSAIDs
Anti-neuropathic - no evidence
No evidence: chinese herbs, acupuncture
