Other Repro Diseases Flashcards
Endometrial hyperplasia
Most common genital tract malignancy Endometrium thicker than 5mm Simple or complex, w/ or w/o Atypia 1-3-9-27% cancer risk Too much estrogen stim Monitor tamoxifen pts Abnormal bleeding Use mirena Levornogestrel progestin
Uterine Leiomyoma
Aka Fibroids Smooth muscle tumor
Age 50 African Amer, Caucasian
Huge spherical mass intramusc/subserosal/submucosal
Pedunculated on stalk
Incr’d pelvic pressure
Use OCP/ Lupron GnRH agonist/ uterine aa embolization to starve fibroid
Trichomonas Vaginalis
Protozoan Motile w/ Flagella Anaerobic- aromatic amine test + Lots WBC's and inflam Elevated pH
Usu asymptomatic Bubbly yellow-green smelly discharge Strawberry studded cervix Usu always sex transmitted Wet prep w/ motile trich detection Diamond media culture detection
Use Metronidazole- metallic taste, reacts w/ EtOH
All sex partners need be treated
Condoms help prevent transmit
Bacterial vaginosis
Most common vaginitis
Thin milky white discharge
No WBC’s hence vaginOSIS
High pH
Linked to pregnancy preterm, low wt
Linked to decr in lactobacilli
Clue Cells- bac studded epithels wet prep
Not rly sex transmit so don’t need treat partner unless female
Use Metronidazole, Tinadazole, clindamycin
Candida Vaginitis
2nd most common vaginitis
Caused by Candida Albicans, Glabrata, Tropicalis YEAST
Hyphae like invade vaginal epithel in presence of estrogen
Thick white cottage-cheese discharge
Normal pH
Itchy!! and painful
Most women get at least once
KOH prep see hyphae, conidia
Predispose factors- high estrogen, DM, lots candy, immunosuppressive, lots antibiotics, chemotherapy
Uncomplicated and complicated versions w/ disease or recurrencex4
Use topical Nystatin/Azole
Use systemic Fluconazole, Ketoconazole (but not if pregnant)
DIV desquamative inflammatory vaginitis
Uncommon Red burning vagina Normal vulva!! Thin yellow purulent discharge Hi pH look like vaginal atrophy in menopause but won't respond to estrogen therapy
Group B streptococci
use topical clindamycin and estrogen for prevent relapse
