Gynecology- Uterine Bleed & Abnormalities

Question 1

Uterine Leiomyomata (aka fibroids)

Answer 1

Benign smooth muscle tumors relatively common.

Question 2

S&S uterine leimyomata

Answer 2

Most asymptomatic

Heavy, prolonged menses 
Anemia
Chronic pelvic pain
Build Symptoms (pelvic pressure, hydronephrosis, constipation) 
Recurrent pregnancy loss
Irregularly enlarged bulky uterus

Question 3

Management of uterine leiomyomata

Answer 3

Asymptomatic: observation

Symptomatic: Hormonal contraception, surgery

Question 4

Endometrial polyps

Answer 4

Common, well-vascularized, benign hyperplastic endometrial gland growths that extend into the uterine cavity.

Question 5

S&S endometrial polyps

Answer 5

Most asymptomatic

Regular monthly menses
Intermenstrual bleeding
Small, non tender uterus
No visible cervical or vaginal lesions.

Question 6

Thx endometrial polyps

Answer 6

Asymptomatic: observation

Symptomatic: hysteroscopic polypectomy