Endometriosis Flashcards
1
Q
what is it?
A
growth of ectopic endometrial tissue outside of the uterine cavity.
2
Q
what are the clinical features?
A
chronic pelvic pain
secondary dysmenorrhoea
pain often starts days before bleeding
deep dyspareunia
subfertility
non-gynaecological: urinary symptoms e.g. dysuria, urgency, haematuria.
Dyschezia (painful bowel movements)
3
Q
what is seen on examination
A
on pelvic examination reduced organ mobility, tender nodularity in the posterior vaginal fornix and visible vaginal endometriotic lesions may be seen
4
Q
ix
A
laparoscopy
5
Q
mx
A
NSAIDS/PARACETAMOL
COCP OR PROGESTROGENS
6
Q
Secondary treatments
A
used when fertility is to be preserved
GnRH analogues - pseudomenopause
Surgery - laparoscopic excision and laser treatment of endometriosis ovarian cysts -
