3 - Gynae - The Uterus and its abnormalities - Adenomyosis

Question 1

what is adenomyosis? most common when? ass w what? what happens after menopause?

Answer 1

endometriosis interna - endometrium and underlying stroma present within myometrium
~40yo
fibroids and endometriosis
Sx subside

Question 2

path/aet - extent = ?

-what happens in severe cases?

Answer 2

the extent is variable

severe - pockets of menstrual blood in myometrium of hysterectomy specimens

Question 3

Clinical features
Hx - Sx?
Ex - uterus?
Ix - not easily seen on ?? but seen on ??

Answer 3

Sx poss absent - painful reg heavy menstruation common
uterus mildly enlarged and tender
USS but seen on MRI

Question 4

MGMT

• what may control dysmenorrhea and HMB?
• what often needed?
• some women have what? why?

Answer 4

prog IuS or COCP w/wo NSAIDs
often need hysterectomy
some have trial on GnRH analogues - to determine if hysterectomy will improve Sx

Question 5

this condition is dependent on?

effects on fertility?

Answer 5

fertility effects unclear

oestrogen dependent