Adenomyosis Flashcards
1
Q
What is adenomyosis?
A
Invasion of the endometrium into the uterine myometrium resulting in enlarged uterine volume with adenomyotic foci that may be associated with painful and heavy periods
2
Q
Treatment of adenomyosis?
A
TXA +/- NSAID, LNG-IUS, COCP, cyclical use of POP
3
Q
Symptoms of adenomyosis?
A
Bleeding, dysmenorrhea, irregular bleeding, can be asymptomatic
4
Q
Prevalence of adenomyosis?
A
20-30% of menstruating women
5
Q
Most common finding on ultrasonography?
A
Diffuse myometrial heterogeneity
6
Q
Dose of TXA
A
1-1.5g 3-4 times daily for the first 3-5 days of menstruation - considered first line
7
Q
Potential negative pregnancy outcomes with adenomyosis?
A
PROM, SGA, miscarriage, pre-eclampsia and placental malposition
