Uterine disorders

Question 1

Submucosal (penduculated) fibroids found

Answer 1

Protrude into the uterine cavity

in the endometrium
usually just palpable as an enlarged uterus

May cause heavy bleeding

Question 2

Subserosal myoma

Answer 2

bulge through outer uterine wall

under the uterine serosa OUTSIDE the uterus

may be easily palpated on abdominal exam

Question 3

Intraligamentous fibroids

Answer 3

Found within the broad ligament

Question 4

Interstitial (Intermural) fibroids

Answer 4

Stay within the uterine wall

within the myometrium
lead to an irregular contour

Question 5

Stages of endometriosis

Answer 5

Stage 1- minimal
few implants and no adhesions

Stage 2- mild
superficial implants, no significant adhesions

Stage 3- moderate
superficial and deep implants AND notable adhesions

Stage 4- Severe
multiple implants, dense adhesions, association with infertility

Question 6

Endometriosis objective findings

Answer 6

may be normal

cervical motion tenderness CMT

bilateral or unilateral adnexal tenderness
tender nodules on the uterosacral ligments

ovarian enlargement

fixed or retroverted uterus

Question 7

Forms of Adenomyosis

Answer 7

diffuse (2/3rds of cases)
endometrial tissue is found through the myometrium

focal
one or nodular lesions (adenomyomas) in the myometrium

Question 8

Common subjective sx adenomyosis

Answer 8

many are asymptomatic

heavy menses

dysmenorrhea

Question 9

Objective signs of adenomyosis

Answer 9

uterine enlargement

Tender uterus on bimanual