gynea investigations

Question 1

when would you preform a urine dip?

Answer 1

always preform a urine dip on individuals with pain and bleeding to exclude haematuria and infection

Question 2

when is a high vaginal swab used vs endocervical swab?

Answer 2

high vaginal swab= used for candida

endocervical swab= used to exclude chlamydia and gonorrhoea

Question 3

what is colposcopy used for?

Answer 3

to remove abnormal areas of the cervix using laser

Question 4

what is hyteroscopy used for?

Answer 4

endoscope inserted through the uterine cervix to inspect the uterine cavity-> gold standard for abnormal uterine bleeding, preformed in theatre under general anasthetic

used to identify:

• endometrial polyps
• submucosal fibroids
• endometrial carcinoma

Question 5

what are complications of hysterocopy?

Answer 5

• infection and gas embolisation

Question 6

what is a pipelle biopsy and what is it used for?

Answer 6

• used to diagnose cause of abnormal uterine bleeding

- insert plastic tube transcervically, removing the tube will suck a sample of the endometrium using negative pressure

Question 7

endometrial ablation?

Answer 7

daycare procedure where endometrium is destroyed using laser.
conceiving after this is unlikely and if you do it can lead to complications such as miscarriage