Endometriosis Flashcards
Endometriosis is the ___of endometrial tissue outside of the____
implantation
endometrial cavity
Although the endometrial tissue can implant anywhere, the most common sites are:
the ovary and pelvic peritoneum
Endometriosis occurs in women _____and is more common if ____
of reproductive age
a first-degree relative (mother or sister) has endometriosis
cxfx
Pelvic Pain* /Dysmenorrhea/ dyspareunia + Abnormal bleeding
*with especific pattern
How is the endometriosis pain pattern
pelvic pain that starts 1 to 2 weeks before menstruation and peaks 1 to 2 days before menstruation.
So:pain ends with
menstruation.
Endometriosis physical exam reveals a
nodular uterus and adnexal mass
dx
only by direct visualization via laparoscopy.
it shows a rusty or dark brown lesions.
On the ovary, a cluster of lesions called an __looks like a ___
endometrioma
“chocolate cyst.”
Medical treatment options include
- nonsteroidal anti-inflammatories (NSAIDs),
- hormonal contraceptives,
- gonadotropin-releasing hormone (GnRH) agonists,
- aromatase inhibitors.
how to choose among Medical treatment options
There are no data to support the use of one over the other; the choice depends on patient preferences, side effects, and treatment efficacy
Patients with moderate to severe symptoms can be placed on either ___or
___. Both of these drugs are used to decrease ___
danazol
leuprolide acetate (Lupron)
FSH and LH.
Danazol is an ____ and its SE are
androgen derivative
acne, oily skin, weight gain, and hirsutism.
Leuprolide acetate (Lupron) is a \_\_\_\_ and when given continuously \_\_\_\_\_. Its SE are\_\_
GnRH agonist
suppresses estrogen.
hot flashes and decreased
bone density
Surgical treatment is considered for patients who ____
have severe symptoms or are infertile.
Surgery attempts to remove ___ and__, and to restore __
all of the endometrial implants
adhesions
pelvic anatomy.
