Fibroids Flashcards
1
Q
fibroids
A
benign tumours of the uterus
2
Q
who does it commonly affect
A
African-Caribean women
3
Q
signs
A
can be asymptomatic dysmenorrhoea/menorrhagia abdominal pain compressive symptoms bulky sensation infertility
4
Q
what are compressive symptoms
A
increased urination
constipation
swelling
5
Q
investigations
A
USSD
6
Q
management
A
asymptomatic:
can leave it and monitor
symptomatic: levonogestrel intrauterine system NSAIDs transexamic acid combined pill
surgery:
myomectomy
hysterectomy
7
Q
when do you do surgery
A
if fibroid over 3cm and symptomatic
8
Q
when would you not use levonorgestrel intrauterine system
A
if there is uterine distortion
9
Q
what is considered uterine distortion
A
multiple large fibroids present
10
Q
how would you manage if fibroids are causing infertility
A
myomectomy
11
Q
fibroids in pregnancy
A
can grow but can be managed conservatively
rest
analgesia
12
Q
what is given before surgery and why
A
GnRH agonists to reduce size of uterus
