adenomyosis Flashcards

1
Q

what

A

endometrial tissue inside myometrium

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2
Q

more common in…

A

later reproductive years

multiparous

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3
Q

presentation

A

dysmenorrhoea
menorrhagia
dyspareunia

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4
Q

first line invesigation

A

transvaginal USS

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5
Q

Mx - does not want contraception

A

tranexamic acid when there is no assoc pain

mefenamic acid when there is assoc pain

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6
Q

Mx - contraception is wanted or acceptable

A

mirena coil
COCP
cyclical POP

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7
Q

Mx - specialist options

A

GnRH analogues
endometrial ablation
uterine artery embolisation
hysterectomy

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8
Q

assoc w what pregnancy complications

A
infertility 
miscarriage
preterm birth 
SGA
PPROM 
malpresentation 
CS
PPH
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