Endometriosis

Question 1

Most widely accepted cause of endometriosis

Answer 1

retrograde menstruation

Question 2

decreased risk of endometriosis

Answer 2

multiple births, late menarche, and extended intervals of lactation

Question 3

increased risk of endometriosis

Answer 3

nulliparity, early menarche/late menopause, short menstrual cycles or prolonged menses, mullerian anoalies, taller/thinner body, lower BMI

Question 4

nulliparous 25 year old female presents with dysmenorrhea, chronic pelvic pain, and dyspareunia. More hx questions reveal she had menses at 11 years old. BMI of 18. what do you suspect

Answer 4

endometriosis

Question 5

describe pelvic exam in endometriosis

Answer 5

majority normal. if manifestations- tender nodules in cul-de-sac or rectovaginal septum, uterine retroversion with decreased uterine mobility, cervical motion tenderness, adnexal mass or tenderness

Question 6

diagnostics of endometriosis

Answer 6

transvaginal US is imaging of choice to detect deep penetrating endometriosis of recctum or rectovaginal septum. Histology- surgical excision of lesion is difinitive diagnostic tool