LOs - Possible Complications + Management

Question 1

What are possible complications of Asherman’s Syndrome?

Answer 1

Infertility
Repeated miscarriages
Pain from trapped blood

(managed with same surgery?)

Question 2

What are the possible complications of atrophic vaginitis?

Answer 2

Recurrent UTIs
Stress incontinence
Pelvic organ prolapse

Question 3

What are possible complications of cervical cancer/CIN and how are they managed?

Answer 3

Complications almost all due to treatment complications

• LLETZ – increased risk of midtrimester miscarriage and preterm delivery
• Radical hysterectomy – bladder dysfunction (intermittent self-catheterisation), sexual dysfunction (reduced libido, vaginal dryness, dyspareunia) due to vaginal shortening, lymphoedema (leg elevation, skin care, massage)
• Radiotherapy – early (radiotherapy-induced) menopause and loss of fertility, lethargy, bowel and bladder urgency, skin erythema. Long-term – fibrosis, vaginal stenosis, cystitis-like symptoms, malabsorption and mucous diarrhoea