Endometriosis Flashcards
1
Q
Etiology of endometriosis?
A
- Retrograde menstruation.
- Metastatic
- Coelomic metaplasia
- Induction theory
- Immunological alterations
- Implantation theory
2
Q
PPF OF ENDOMETRIOSIS
A
CBP Nulliparity Chronic anovulation Obesity White race, high SC \+ve family history
3
Q
C/p
A
Pain
Infertility
Bleeding
4
Q
Investigations?
A
Laparoscopy is gold standard
Biopsy: hemosidren laden MQ
Imaging: HSG, US
lab: CA125
5
Q
TTT?
A
Ist non hormonal
NSAIDS for pain
6
Q
TTT?2 COCS
A
Hormonal
COCS: psudo pregnancy, resorption
FOR 4-6 months
RR IS 25 % after one year
7
Q
TTT? Progesterone
A
FOR 6-9 months.
Medroxy progesterone acetate… 10-30 mg/day
DEPOT MPA… 150 mg/3months
Deinogest = GNRH analogue
8
Q
TTT? GnRH
A
Pseudo menopausal state
IM or SC every month
DIS?
9
Q
DANAZOL?
A
MECH?
Dose: 200 mg up to 800 mg until amenorrhea
DIS?
10
Q
TTT by surgery?
A
Conservative
Extirpative
11
Q
TTT of infertility?
A
HSG
Tube patent … IOO…IUI…IVF
Tube not patent… laparoscopy… if patent
If not.. adhesiolysis,
