Uterine disorders Flashcards
The presenceof endometrial glands outside the cavity.
endometriosis
endometriosis is a risk for what type of cancer
ovarian
what is the primary etiology of endometrosis
retrograde menstration
what is the primary risk factor for endometrosis
Increased estrogen
clinical presentation for endometrosis
premenstral pelvic pain
decrease in pain after menses
2 physical exam findings of ensometrosis
- tenderness at posterior cul de sac
2, retroverted uterus
what playes a role in endometrosis
Ca 125
what does chocklate cake cysts go with
endometriosis
what are the 4 treatments for endometriosis
NSAID
OCP
aromtase inibitor
hysterectomy
what is the medocal work for uterine fibroid
-uterine leiomyoma
Arise from smooth muscle cells within the uterine wall made from collagen and smooth muscle surrounded by psudocapsule
uterine fibroid
uterine fibroid is more common in what population
blacks
what is the indicated etiology of uterine fibroids
estrogen
what are the three classes of fibroids
- submucosal
- intramural
- subsurrosal
what is the clinical presentation of uterine fibroids
pain, pressure
infertility
abnormal bleeding
what are the uterine fibroids medications
(no standard)
- OCP
- GnrH
- steroid therapies
what medication do you give prior to surgery for a fibroid that decreases the size
GnRH analog depot lutren
what type of fibroid can you NOT give OCP or transexanic acid to
submucosal
If they do NOT have a submucosal fibroid, what type of surgery perserves fertility
myomectomy (no vaginal birth)
If they DO have a submucosal fibroid, what type of surgery perserves fertility
HYSTERSCOPY
what is the downside to endometrial ablation
no more kids
Tell me about uterine artery abaltion
perserves uterus but not fertility
growth of endometrial glands and stromal into the uterine myometrium
adenomyosis
adenomyosis often has a history of what
utrine surgery
uterine elaregent think what
adenomyosis
Treatment for adenomysosis 4
- OCP
- IUD
- Nuva ring
- Hysterectomy
excessive growth of endometrium associassciated with increased estrogen
endometrial hyperplasia
risk factor for endometrical hyperplasia
obesity
estrogen does what to the uterus
proliferation
If the endometerium is < 4mm of US malignancy is what
unlikely
what is the treatment for typical (non cancerous) endometrical hyperplasia
progestin (remember this is antiproliferitive)
what is the treatment for atypical (cancerous) endometrical hyperplasia
Hysterectomy
what is the difference in type I vs type II endometrical cancer
I: associated with estrogen
II: no association with estrogen
what is the most common type of endometrical cancer
adenocarcinoma
what is the endometrical cancer with the worst prognosis
clear cell
