AUB Flashcards
Causes of AUB PALM COEIN
Polyp Adenomyosis Leiomyoma Malignancy Coagulopathy Ovulatory dysfunction Endometrial Iatrogenic Not yet classified
Most common benign neoplastic growth of the cervix
Cervical polyp
Endocervical polyp is what color
Cherry red
Cervical polyps are what color
Grayish white
Most common type of cervical polyp
Adenomatous type
Localized overgrowth of endometrial glands and stroma that project beyond the endometrium
Endometrial polyp
3 components of endometrial polyp
Endometrial glands Endometrial stroma Central vascular channels
Symptom of cervical polyp
Bleeding after coitus
Symptom of endometrial polyp
abnormal uterine bleeding
Treatment for endometrial and cervical polyp
Cervical- polypectomy Endometrial- hysteroscopy with D and C
Ectopic endometrial glands and stroma within the myometrium
Adenomyosis
Definitive treatment for adenomyosis
Hysterectomy
Mildest form of leiomyoma
Hyaline
Most acute form of leiomyoma
Carneous (red) degeneration
- Occurs in 5-10% of pregnant women
- Can cause severe pain and peritoneal irritation
- Characterized by extensive coagulative necrosis
Indication to do hysterectomy rather than myomectomy in leiomyoma
Uterus >14-16 weeks size Rapid growth after menopause
First line diagnostic tool for AUB
Ultrasound
Accurate evaluation tool for intracavitary lesions
Saline infusion sonography
Imaging study that is both diagnostic and therapeutic
Hysteroscopy
This diagnostic test is recommended for: Postmenopausal women with heavy/ irregular bleeding Endometrial cells or atypical glandular cellson pap smear Patients on Tamoxifen with abnormal vaginal bleeding Still menstruating after 52 years old
Endometrial biopsy
This androgenic steroid inhibits gonadotropins and is used for AUB Side effect weight gain and acne
Danazol
Danazol causes this irreversible side effect when overdosed
Low pitched voice
Treatment of choice for women with hypovolemia due to AUB
D&C
May be offered as initial treatment for HMB For those with medical contraindications against hysterectomy and those with small myoma
Endometrial ablation
Diagnostic and therapeutic for immediate management of severe bleeding
D&C
