Diagnosis of endometriosis Flashcards

1
Q

Diagnostic delays in endometriosis

A
  • 4/10 years
  • Intermittent use of contraceptives
  • Use of non-discriminatory examinations
  • Misdiagnosis
  • Attitude towards menstruation
  • Normalisation of pain by the women
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2
Q

Pelvic symptoms and endometriosis

A
  • Cyclical pelvic pain 57%
  • Dysmenorrhea 62%
  • Dyspareunia 55%
  • Infertility 40%
  • Incapacitating dysmenorrhea 28%
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3
Q

Intestinal complaints and endometriosis

A
  • Cyclic intestinal complaints 48%
  • Dyschezia
  • Periodic bloating 96%
  • Diarrhea 27%
  • Constipation 16%
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4
Q

TV scan and endometriosis

A
  • Transvaginal scan is useful in identifying and ruling out rectal endometriosis
  • It is only valid if performed by skilled operator
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5
Q

USS markers of endometrioma

A
  • Ground glass echogenicity
  • 1 to 4 compartments
  • No papillary projections
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6
Q

CA125 and endometriosis

A
  • Not good for grade I and IV
  • Good for grade II and III
  • Useful to determine group of patients who wold benefit from early laparoscopy
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7
Q

MRI and endometriosis

A

It should be used to asses bowel, bladder, ureters in deep infiltrating endometriosis to plan further management

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