Reproduction II Flashcards
What is defined as the abnormal presence of neutrophils in the endometrium?
Acute Endometritis
What are 3 causes of Acute Endometritis?
Ascending Infection due to Abortion
Delivery
Medical Instrumentation
**specific cause rare
What must Acute Endometritis be distinguished from?
Normal PMN’s due to menstruation
The presence of plasma cells, lymphocytes, and the occasional lymph nodule within normal Endometrium indicates what?
Chronic Endometritis
What is Chronic Endometritis often associated with?
3 things
IUD’s
PID
Abortion/Delivery substances (that have been retained)
Bleeding, Pelvic pain, IUD…
Chronic Endometritis
Pus in the Endometrial Cavity is defined as…
Pyometria
Anything that causes cervical stenosis (narrowing) will be associated with what condition?
*due to tumor, scarring, etc
Pyometria
Long standing pyometria may be associated with what?
How often does this occur?
Endometrial Squamous Cell Carcinoma
**Rare
Endometrial tissue that forms tumor-like nodules outside the uterus is known as…
Endometriosis
What are 3 places Endometriosis is often found?
Ovary
Fallopian tube
Pelvic peritoneum
Endometrial foci are composed of what?
Endometrial glands and stroma
***responds to estrogenic stimulation/cycle
Why can’t the blood be cyclically discharged in endometriosis?
Foci encased in CT/Peritoneum
Endometriosis primarily happens in the 3rd to 4th decade of life, and has a higher incidence in….
Higher socio-economic groups
*marry later
T/F
The most popular theory of Endometriosis pathogenesis is the Regurgitation Theory, but is not clearly understood
True
What color are the nodules/plaques in Endometriosis?
Red-Brown
Where are most foci in Endometriosis found?
Orifice of Fallopian Tubes
What percentage of women of reproductive age have Endometrial foci?
15-20%
T/F
Endometriosis does not progress to cancer
True
Where are Chocolate Cysts found?
How big are they?
Ovarian endometriosis
1-5 cms
*filled with brown red viscous fluid
If endometrial glands and stroma enter the myometrium, it can cause what?
Adenomyosis
T/F
The deeper the Adenomyosis penetration, the more likely symptomatic with dysmenorrhea (painful menstruation) or menorrhagia (heavy bleeding menstruation)
True
Adenomyosis is most often seen in what demographic?
Parous - have had children
Small, soft, tan, partially cystic masses in the myometrium is what?
*also mildly proliferative endometrial glands surrounded by stroma of varying fibrotic states
Adenomyosis