Endometriosis Flashcards
1
Q
Definition
A
A chronic disease characterized by having endometrial tissue outside of the uterine cavity
2
Q
Epidemiology
A
Affects 6-10% of premenopausal women
Rarely affects men
3
Q
Etiology
A
Retrograde menstruation Metaplasia Metastatic Immunologic Iatrogenic
4
Q
Risk Factors (PREGG)
A
Polymenorrhea & hypermenorrhea Reproductive age Early menarche Good socioeconomic conditions Genetics
5
Q
Predisposing Factors (HAI)
A
Hyperestrogenism
Anatomical defects
Iatrogenic
6
Q
Symptomatology (DIDCD)
A
Dysmenorrhea Infertility Dyspareunia Chronic pelvic pain Dyschezia
7
Q
Differential Diagnosis (AEIO-AIR)
A
Adnexitis Ectopic pregnancy Infection of the genital tract Ovarian cysts Acute abdomen Intraabdominal adhesions Retroflexed uterus
8
Q
Diagnosis
A
Direct visualization under laparoscopy
With or without biopsy for histological examination
9
Q
Staging
A
Stage I = 1-5
Stage II = 6-15
Stage III = 16-40
Stage IV = >40
10
Q
Medical Treatment
A
NSAIDs Combination oral contraceptives Progestins GnRH agonists or antagonists Danazol
11
Q
Surgical Treatment
A
Conservative = Excision Definitive = Total abdominal hysterectomy
