Adenomyosis

Question 1

Define Adenomyosis

Answer 1

Adenomyosis is the presence of functional endometrial tissue within the myometrium of the uterus.

Question 2

Adenomyosis Sx

Answer 2

• Menorrhagia (heavy period)
• Dymenorrhoea (Painful period)
• Dyspareunia (Pain during sex)

Question 3

1st line imaging for suspected adenomyosis

Answer 3

TVUS

Question 4

Definitive diagnosis of adenomyosis

Answer 4

histology - post hysterectomy

Question 5

Adenomyosis Risk factors

Answer 5

• Multi-parity
• Previous uterine surgery
• 30-50 years old

Question 6

Adenomyosis examination findings

Answer 6

Enlarged and Tender uterus on bimanual examination

Question 7

Definitive treatment for adenomyosis

Answer 7

Hysterectomy

Question 8

Adenomyosis 1st line Mx

for non-conceiving

Answer 8

Mirena coil

Question 9

Adenomyosis non-hormonal Mx - for conceiving patients

Answer 9

Tranexamic acid
Mefenamic acid

Question 10

when to use tranexamic acid

Answer 10

adenomyosis w/ Menorrhagia

Question 11

Tranexamic acid drug class and MoA

Answer 11

Anti-fibrinolytic - reduces bleeding

Question 12

Mefenamic acid drug class and MoA

Answer 12

NSAID - reduces bleeding and pain

Question 13

when to use mefenamic acid

Answer 13

adenomyosis w/ dysmenorrhoea

Question 14

what is the purpose of hormonal therapy in adenomyosis

Answer 14

To reduce the proliferation of the ectopic endometrial cells

Question 15

adenomyosis alternative Tx

Answer 15

Uterine Artery Embolisation (UAE)