Pelvic Inflammatory Disease and Infertility

Question 1

Pergonal

Answer 1

infertility medicine used to stimulate follicular development of the ovaries

Question 2

What is given to some women with IUD’s to regulate their cycles?

Answer 2

Progestin

Question 3

What are the most common causes of PID?

Answer 3

Chlamydia and gonorrhea

Question 4

What are less common reasons of PID?

Answer 4

Pelvic surgery, ruptured appendix/diverticulum, douching, multiple sexual partners, tuberculosis

Question 5

What’s the most common initial clinical indication for PID?

Answer 5

Vaginitis

Question 6

What does the endometrium appear as with endometritis?

Answer 6

Thickened, fluid within and ring down artifact from gas formation

Question 7

Patients with salpingitis may have symptoms similar to:

Answer 7

Cholecystitis

The infection can travel to liver and cause adhesions

Question 8

What is it called when the PID infection travels to the perihepatic system, and the liver capsule becomes inflamed?

Answer 8

Fitz-Hugh-Curtis syndrome

May see fluid in Morison’s pouch

Question 9

Most common location for endometriosis?

Answer 9

Ovaries

Question 10

PCOS has been linked to what?

Answer 10

Breast and endo cancer due to the unopposed estrogen

Question 11

PCOS follicular size:

Answer 11

> 10 cysts measuring 2-18mm