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Question 1

define endometriosis

Answer 1

endomtrial glands and stroma forming outside of the endometrial cavity - found in extrauterine locations

• this bleeds > scars > pain and adhesions

Question 2

halban

Answer 2

distant lesions are established by the hematogenous or lymphogenous spread of viable endometrial cells

Question 3

what ectopic locations can endometrial glands and stroma present in?

in endometriosis

Answer 3

pelvic peritoneum
ovaries
rectovaginal

Question 4

stigmata of endometriosis?

Answer 4

dysmenorrhea
dyspareunia
chronic pelvic pain
irregular uterine bleed
infertility

Question 5

theory of retrograde mestruation is by?

Answer 5

sampson theory

Question 6

what type of pain occurs in endometriosis?

Answer 6

painful menstrual cramps

chronic long term pain in lower back and pelvis

pain during sex - deep pain

intestinal pain

Question 7

why does endometriosis cause pain?

Answer 7

endometrial growths outside of uterine cavity grow and swell and bleed in a similar way

but when it bleed - where does it go?
trapped blood in overis = cysts

inflammation

scar tissue and adhesions - pelvic pain
problems in your intestines and bladder

Question 8

theories of endometriosis

Answer 8

problems with menstrual period flow
genetic factors
immune system problems
hormones
surgery

Question 9

managing endometriosis?

Answer 9

conservative - pain relief; paracetamol / nsaids

medical management focuses on suppressing oestrogen production thus inhibiting the endometrial growth; contraceptive

surgical options

Question 10

role of GnRH anologues in endometriosis

Answer 10

GnRH - helps to control menstrual cycle as it stops produtcion of oestrogen

starving endometriosis of oestrogen causes the deposits to become inactive and reduce

example : goserelin
buserelin