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Yr 3 Gynaecology > Adenomyosis > Flashcards

Adenomyosis Flashcards

1
Q

What is adenomyosis

A

Endometrial tissue inside the myometrium (muscle layer of uterus)

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2
Q

Adenomyosis presentation

A

Middle aged woman. Dysmenorrhoea (painful periods), menorrhagia, dyspareunia (painful sex).
May also present with with infertility.

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3
Q

Adenomyosis differentials

A 
Uterine myoma
PID
Endometrial carcinoma
Endometrial polyps
Fibroids
Endometriosis
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4
Q

Adenomyosis investigations

A

Enlarged and tender uterus on examination.
Transvaginal ultrasound of pelvis first line.
If not suitable, MRI or transabdominal ultrasound.
Histological examination of uterus after hysterectomy

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5
Q

Adenomyosis management

A

Similar treatment to menorrhagia: tranexamic acid/mefenamic acid or Mirena coil, COCP
Specialist: GnRH analogue to induce menopause like state, hysterectomy

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6
Q

Adenomyosis complications

A

Infertility, Miscarriage, Need for caesarean section, postpartum haemorrhage

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Yr 3 Gynaecology (11 decks)

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