fibroids Flashcards
1
Q
what are fibroids
A
benign smooth muscle tumours of the uterus
2
Q
fibroids associations
A
afro-caribbean women
develop in response to oestrogen
3
Q
presentation of fibroids
A
may be asymptomatic
menorrhagia
bulk-related symptoms: lower abdo pain, bloating, urinary symptoms
subfertility
polycythaemia
4
Q
diagnosis of fibroids
A
transvaginal ultrasound
5
Q
management of menorrhagia caused by fibroids
A
LNG-IUS- not if distortion of uterine cavity
NSAIDs- mefenamic acid
tranexamic acid
COCP
oral progesterone
injectable progesterone
6
Q
treatment to shrink/remove fibroids
A
medical: GnRH agonists
surgical: myomectomy
uterine artery embolisation
