GYN: General Gynaecology -- Pelvic Pathology

Question 1

Gynaecological symptoms associated with endometriosis

Answer 1

chronic pelvic pain, dysmenorrhoea, dyspareunia, infertility

Question 2

Best management for endometrioma

Answer 2

Laparoscopic ovarian cystectomy

Question 3

Investigations for acute PID

Answer 3

1. Microbiological:
   
   • Triple swab
   • Screening of other STDs
   • Urinalysis, MSU * C/ST to rule out UTI
2. Blood: CBC (WCC), CRP, ESR
3. Pregnancy test
4. Pelvic USG

Question 4

Antibiotics outpatient regimen for acute PID

Answer 4

1. IM Ceftriaxone single dose
2. PO Doxycycline BD
3. PO Metronidazole BD
   for 14 days

Question 5

Complications of PID

Answer 5

• Tubo-ovarian abscesses, Septicaemia
• Chronic pelvic pain
• Subfertility, Ectopic pregnancy