Benign Disorders of the Lower Genital Tract

Question 1

Labial fusion is most commonly caused by:

Answer 1

21-hydroxylase deficiency (congenital adrenal hyperplasia)

• Ambiguous genitalia
• Hypdrandrogenism
• Salt wasting, hyperkalemia
• Hypotension

Question 2

Signs of imperforate hymen

Answer 2

• Hydrocolpos/mucocolpos
• ## Primary amenorrhea, cyclic pelvic pain

Question 3

Most common vulvar tumor:

Answer 3

Epidermal inclusion cyst

Question 4

Management of Bartholin’s abscess in woman over 40:

Answer 4

Biopsy of cyst wall to rule out Bartholins’ gland carcinoma

Question 5

Congenital cervical anomalies are associated with:

Answer 5

Exposure to DES (diethylstilbestrol) in utero; women born 1940-70

Question 6

Management of large, painful Bartholin’s duct cysts:

Answer 6

Initial: Word catheter placement
Failure: Marsupialization
Never: I/D, excision