Ovaries path I Flashcards
what are follicular cysts
common
form if no LH surge and cyst does’t rupture to release its egg, continues to grow and forms cyst
usually reabsorb after 2-3 menstrual cycles
what causes a corpus luteum cyst
if opening from released egg seals off the subsequent corpus luteum can grow into a cyst
what can occur with corpus luteum cyst
may hemorrhage or udnergo torsion
what is an endometrioma
chocoloate cysts from repeated menstural cycles
youn women with sudden unilateral low abdominal pain
torision of ovary
what do you have to rule out if suspect torsion of ovary
ectopic pregnancy
what is Tx for torsion of ovary
surgery to unwind ot remove
what is the #1 cause of torsion of ovary
teratoma
risk factors for ovarian torsion
increased length of ovarian ligament/large ovary
What are components of polycystic ovary disease
oligomenorrhea
hyperandrogenism: hisutisms, inc muscle mass, large clitoris, baldness, acne
polycystic ovaries
obesity, acanthosis nigricans, DM, insulin R, premature ASD, high cholesterol
what disease do you rule out for PCOD
thyroid problems, pituitary problems
what is stromal hyperthecosis
overlaps with PCOD
both ovaries enlarged with hormonally active ovarian stroma
most common in postmenopausal women
virilizaiton may be striking
how does ranking of hirsutism work
scale 0-4, 4 being the most hair
if suspect PCOD what are labs to order
Testosterone levels at 8 am
24 hr urine cortisol levels
DXM suppression test
definition of infertility
failure to conceive after 1 year of sex
> 6mo if >35 y.o
what is fecundity
likeliehood of pregnancy over time
25-50% <3 mo
85% in 1 yr
what can cause pale infertility
endocrine, poor sperm
23 y.o female complaining of infertility
labs to order
day 21 P
3 ng/mL= recent ovulation
endometrial Bx
if 23 y.o infertile patient is anovulatory what could be causes of infertility
PCOS: increased androgen, ovarian cysts
PRL levels, TSH, FSH
if 23 y.o infertile patient does have ovulation what could be cause of infertility and what lab do you do.
hysterosalpingogram to see if blocked or patent
blockage could be PID or mechanical
if patent could be endometriosis, uterine masses, lesion… etc
what lab level will determine if 40 y.o F has ovarian failure
if day 3 FHS levels are increased
