7 Flashcards
vestibulodynia
severe pain on touch or entry into the vagina
tenderness and erythema
lichen simplex chronicus
from chronic itching/scratching–damage skin
thick leathery labia with or without edema
tx: steroids and antihistamines
post exposure prophalyxis to hep B
within 7 days of IV exposure and 14 days within sex exposure
if unvaccinated: one dose of HBIG + vaccine
if vaccinated but nonresponsive: 2 doses HBIG or same as above
PID treatment
IV antibiotics
salpingitis symptoms
adnexal masses, fever, diarrhea, abd pain, cervical discharge
pelvic prolapse risk factors
multiparity age obesity connective tissue dis. chronic constipation vag delivery > c -sect
treatment for intrinsic sphincteric deficiency (constant leak)
urethral bulking procedures
cystoceles repaired by
fixing defects in pubocervical fascia or reattaching it to sidewall
colpocleisis
quick procedure without anesthesia
vagina surgically obliterated
due to prolapse and hydronephrosis
least invasive procedure for pelvic prolapse
pessary
treatments for endometriosis in young nulliparious woman
- OCPs
- laser ablation
- TH BSO
how to confirm endometriosis diagnosis
diagnostic lap (exploratory)
no imaging!
next step in detecting hemorrhagic cyst
repeat US because they typically resolve
next step to helping woman with hx of endometriosis to conceive
ovarian stimulation with clomiphene citrate, with or without intrauterine insemination
diagnostic procedure for chronic pelvic pain (even in teens)
diagnostic lap