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Gynaecology > Adenomyosis > Flashcards

Adenomyosis Flashcards

1
Q

What is adenomyosis?

A

Adenomyosis refers to endometrial tissue inside the myometrium

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2
Q

Who is adenomyosis more common in?

A

Later reproductive years
Women who have had multiple children (multiparous)

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3
Q

What is the presentation of adenomyosis?

A

Menorrhagia
Dysmenorrhoea
Dyspareunia

Can be asymptomatic

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4
Q

What is the first line investigation of adenomyosis?

A

Transvaginal ultrasound

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5
Q

What other investigations may be performed to diagnose adenomyosis?

A

MRI
Transabdominal ultrasound

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6
Q

What is the definitive investigation for diagnosis of adenomyosis?

A

Histological examination of uterus after hysterectomy

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7
Q

What is the management of adenomyosis?

A

Symptomatic relief:
Tranexamic acid for menorrhagia with no pain
Mefenamic acid for menorrhagia with pain

Contraception:
Mirena coil

GnRH analogues
Hysterectomy

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Gynaecology (27 decks)

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