Endometriosis

Question 1

Endometriosis S/S

Answer 1

• GI s/s
• Chronic pain (lower back/abd/pelvic/joint)
• infertility
• Chronic fatigue
• Nerve pain
• Painful menses
• painful coitus
• painful urination
• excessive bleeding
• bleeding btwn cycles

Question 2

Endometriosis Pathogenesis Theories

Answer 2

Implantation Theory

Coelomic metaplasia theory

Vascular/lymphatic dissemination theory

Sampson’s Theory: During menstruation, the fallopian tube regurgitates viable endometrial tissue on ovary and different structures

Question 3

Endometriosis Morph

Answer 3

• Powder-burn lesions
• small, blue, pink, white, or red flame-like lesions
• Chocolate cysts

Question 4

Endometriosis Physical findings

Answer 4

– Thickened, nodular uterosacral ligaments
– Thickened recto-vaginal septum
– Induration of the cul-de-sac
– Fixed retroverted uterus
– Fixed adnexal mass

Question 5

Endometriosis Tx

Answer 5

1. Treat Masses (Surgical removal)
2. Treat infertility (surgical removal of obstructions, etc; Also ART)
3. Treat Pain (Hormonal Tx; NSAIDs)