endometriosis

Question 1

what is endometriosis?

Answer 1

A Chronic oestrogen-dependent condition characterised by the growth of endometrial tissue in sites other than the uterine cavity

Question 2

STATE FACTS ABOUT Endometriosis

Answer 2

Endometriosis has a much higher prevalence in infertile women, estimated as between 25% and 40%

Endometriosis is found almost exclusively in women of reproductive age, with diagnosis usually during a woman’s 30s. It is uncommon in the under-20s

Question 3

WHAT ARE THE CAUSES OF Endometriosis

LIME GR

Answer 3

Retrograde menstruation
Genetic predisposition

Lymphatic or circulatory spread
Immune dysfunction
Environmental causes
Metaplasia

Question 4

WHAT ARE THE SYMPTOMS OF Endometriosis

Answer 4

Symptoms – dependent on the area affected

Dysmenorrhoea
Dyspareunia (painful sexual intercourse)
Cyclical/chronic pelvic pain
Subfertility
Bloating, lethargy, constipation
Worsen prior to/during menstruation

Question 5

WHAT ARE Endometriosis Treatments AND THINGS TO CONSIDER

Answer 5

Consider the following…

Nature of symptoms
Severity of symptoms
Need for future fertility

Treatments

Hormone treatments
Pain relief
Surgery

Question 6

WHAT ARE THE HORMONE TREATMENTS FOR ENDOMETRIOSIS

Answer 6

Combined oral contraceptive

Mirena coil
Progestogens
GnRH analogues
Testosterone derivatives
Danazol
Gestrinone

Question 7

WHAT ARE THE Pain Relief TREATMENT FOR ENDOMETRIOSIS

Answer 7

Heat/comfort
Analgesia/NSAIDs/Codeine

Physiotherapy
Pain modifiers
TENS machines
Pain clinics

Question 8

questions to ask?

Answer 8

age? because sd usually affect women in their 30’s.

associated symptoms? (are you having menorrhagia, abnormal vaginal discharge, is your period irregular, painful sex, discomfort) to rule

nature of pain? Sd is dull continuous diffused pain

does the pain radiate?

the severity of pain? sometimes pain can severe in SD (decreases with the onset of menstruation), if it is moderate to severe lower abdominal pain refer

the onset of pain?
sd lower abdominal cramping pain starts 5-7 days before the onset of menses

dx? tried OTC?

pmx? history of std?

HPC?

Question 9

treatment for PSA?

Answer 9

pain meds

NSAIDs or buscopan