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Gynecology > Disorders of the Uterus > Flashcards

Disorders of the Uterus Flashcards

1
Q

Endometriosis

A

Infertility
Pain
Irregular bleeding
Occurs in menstruating women

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2
Q

Is estrogen dependent

A

Endometriosis

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3
Q

Endometriosis Patho

A

Endometrial cells grow in pelvis and abdomen and cause problems

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4
Q

Endometriosis risks

A

Family hx
Nulliparity
Long periods
Tall, thin, low BMI

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5
Q

Endometriosis S/S

A 
Dysmenorrhea
Pelvic pain
Dyspareunia
GI
Infertility
Mass
Urinary problems
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6
Q

Chocolate cyst of the ovary

A

Endometriosis of the ovary

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7
Q

Imaging for endometriosis

A 
Pelvic laproscopy (standard)
Transvaginal US
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8
Q

Endometriosis tx

A 
OCP's
GnRH agonists
Medroxyprogesterone acetate
Danazol
Aromatase inhibitors
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9
Q

Leiomyoma (fibroids)

A 
Benign smooth muscle tumor of uterus
Estrogen dependent
Occur in childbearing age
Grow during pregnancy
Rarely malignant
Affects 30% of women
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10
Q

Leiomyoma (fibroids) complications

A

Can interfere w/ fetal growth and nutrition

Increases risk of abortion and preterm labor

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11
Q

Leiomyoma (fibroids) S/S

A 
Menorrhagia
Bleeding btw periods
Pain, pressure
Stress incontinence
Infertility
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12
Q

Leiomyoma (fibroids) Dx

A

Transvag ultrasound

Hysteroscopy

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13
Q

Leiomyoma (fibroids) Tx

A

Medroxyprogesterone for several weeks

GnRH-a

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14
Q

What do GnRH agonists do?

A

Put the patient into menopause while on the med.

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15
Q

Adenomyosis

A

Commonly confused w/ fibroids

Uterine wall thickens and enlarges

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16
Q

Adenomyosis Dx

A

DIffusely enlarged uterus
Menorrhagia
Dysmenorrhea
Abd pain

17
Q

Adenomyosis Tx

A

OCP
NSAIDS
Hysterectomy for severe dz

18
Q

Uterine Prolapse

A

Pelvic floor muscles and ligaments stretch causing uterus to descent into vaginal canal.
Often affects postmenopausal women who have had vaginal births

19
Q

Uterine Prolapse S/S

A

Sensation of heaviness and pulling in pelvis
Urinary difficulties
BM issues
Low back pain

20
Q

Uterine Prolapse Tx

A 
Healthy weight
Kegel exercises
Avoid heavy lifting
Estrogen replacement
Vaginal pessary
21
Q

Anovulatory bleeding features

A 
Irregular or infrequent bleeds
Flow light to excessively heavy
Amenorrhea
Menorrhagia
Irregular intervals, long bleeds
22
Q

Anovulation Patho

A

Lack of progesterone leads to no follicular development
Prolonged estrogen stimulation
excessive endometrial proliferation

23
Q

Anovulation increases risk for?

A

Endometrial CA

24
Q

Anovulation tx

A

OCP
or
Cyclic progesterone

25
Q

Ovulatory uterine bleeding

A

Regular intervals of menorrhagea lasting longer than 7 days.

vWD is most common cause

26
Q

Tx for ovulatory uterine bleeding

A 
If no bleeding disorder then:
Provera for 3-6 months
or Mirena IUD
OCP, progesterone
NSAIDS
27
Q

Most common cause of post-menopausal bleeding

A

Endometrial atrophy and endometrial polyps

Gynecology (6 decks)

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