Endometriosis Flashcards
1
Q
Definition of endometriosis
A
Occurrence of tissue similar to endometrium in sites other than the lining of the uterus
2
Q
Histological diagnosis of endometriosis
A
2 of 3 components
- endometrial glands
- endometrial stroma
- haemosiderin pigment
3
Q
Aetiological theories of endometriosis
A
- Implantation theory (Sampson’s theory)
- coelomic metaplasia
- lymphatic and haematogenous spread
- genetic factors
- immunological factors
- other factors
4
Q
Anatomical sites of endometriosis
A
- ovary
- pelvic peritoneal endometriotic deposits
- bowel endometriosis
- lower genital treact
- urinary tract
- other sites (scars, umbilicus)
5
Q
Symptoms of endometriosis
A
- dysmenorrhoea
- dyspareunia
- pelvic pain
- infertility
- mentrual dysfunction
- urinary tract and bowel symptoms
6
Q
Medical treatment options for endometriosis
A
- COC
- progestogens
- mirena
- gestrinone
- GnRH analogues
- Danazol
7
Q
Aims of surgery for endometriosis
A
- divide adhesions
- mobilize adnexa
- remove endometriomata
