Adenomyosis Flashcards
1
Q
Define Adenomyosis
A
aka Endometriosis interna
Presence of endometrium in myometrium
2
Q
When is Adenomyosis most common
A
40 yrs
Associated with endometriosis & fibroids
3
Q
Outline the pathology & aetiology of Adenomyosis
A
Endometrium appears to grow into the myometrium to form adenomyosis
Extent varibale, may be enlarged
4
Q
Outline the clinical features of Adenomyosis
A
Symptoms - non - Pain, regular, heavy menstrual bleeding Signs - Mildly large/ tender uterus
5
Q
Outline the investigations for Adenomyosis
A
Can be seen on MRI
Not easily seen on Ultrasound
6
Q
Outline the treatment for Adenomyosis
A
Medical Menorrhagia/ dysmenorrhoea: - Progesterone intrauterine system (IUS)/ COC pill - +/- NSAIDS Surgery - Hysterectomy often required
