Endometriosis Flashcards
Endometriosis is a _____ (malignant/benign) condition in which endometrial glands and stroma are present ______ (outside/inside) the uterine cavity and walss
Benign
Outside
The typical endometriosis patient is in her _____ (50’s/30’s), ______ (multi/nulli)-parious, and ______ (fertile/infertile)
30’s
Nulliparous
Infertile
How do the following theories of endometriosis pathogenesis vary…..
Sampson’s Theory
Meyer’s Theory
Halban’s Theory
Sampon’s: Endometrial fragments transported through fallopian tubes at time of menstruation and implant at intraabdominal sites
Meyer’s: Mulleriean metaplastic transformation of pelvic peritoneum
Halban’s: Substances released/shed from endometrium induce formation of endometriosis
What is the classic triad of endometriosis?
Dysmenorrhea
Dyspareunia
Dyschezia
T/F: Infertility may be a presenting symptoms in endometriosis
True
What may be elicited on a pelvic examination in a patient with endometriosis?
Cul-de-sac/Uterosacral Nodularities
Tender, fixed adnexal mass
Uterus retroverted
What may be seen on US in a patient with endometriosis?
Adnexal mass of complex echogenicity, internal echoes consistent with blood
What is the MOST DEFINITIVE diagnostic method for endometriosis?
How does it appear?
Direct Visualization via laparoscopy
There may be the presence of lesions on the endometrium (black, red, brown, yellow, pink, white, etc…)
T/F: There is a clear relationship between stage, frequency, and severity of pain symptoms in endometriosis
False
There is NO clear relationship between those three
What is considered 1st line in endometriosis treatment?
NSAIDs
OCPs
Progestins
What is considered 2nd line in endometriosis treatment?
Mirena IUD GnRH Agonists (Lupron)
Before giving a GnRH Agonist, like Lupron, what most be done first?
Laparoscopy
Endometriomas greater than ___ cm should be excised surgically.
> 3 cm
What is the MOST DEFINITIVE management option for endometriosis?
Hysterectomy
T/F: In all women, minimization of menstrual flow and suppression of ovarian cycling can reduce the risk for endometriosis.
True
