endometriosis

Question 1

what is endometriosis

Answer 1

growth of ectopic endometrial tissue outside of the uterine cavity

Question 2

presentation of endometriosis

Answer 2

chronic pelvic pain
secondary dysmenorrhoea (pain before bleeding)
deep dyspareunia
subfertility
non gynae symptoms: urinary, painful bowel movements

Question 3

investigations for endometriosis

Answer 3

laparoscopy

Question 4

management of endometriosis

Answer 4

NSAIDs/paracetamol- first line for symptoms relief
COCP (medroxyprogesterone acetate) if analgesia doesn’t work
refer to secondary care if that doesn’t work or patient is trying for baby
- GnRH analogues
- surgery
- women trying to conceive: laparoscopic excision or ablation