Uterine Fibroids Flashcards by Zoe Doak | Brainscape

Q

What is a fibroid

A

smooth muscle tumours of the uterus

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Q

Fibroids are more common in patients of Afro-Caribbean origin. TRUE/FALSE?

A

TRUE

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Q

Fibroids are more common in patients of Afro-Caribbean origin. TRUE/FALSE?

A

TRUE

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Q

Why are fibroids rare before puberty?

A

They develop in response to oestrogen

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Q

Clinical features of fibroids

A

asymptomatic
menorrhagia
iron-deficiency anaemia
lower abdominal pain/ worsened period cramps
bloating
urinary frequency
subfertility

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Q

How are fibroids diagnosed?

A

TVUS

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Q

Management of menorrhagia associated with fibroids

A

Hormonal coil
(cannot be used if there is distortion of the uterine cavity)
NSAIDs e.g. mefenamic acid
tranexamic acid
COCP
POP
Progestogen injection

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Q

Management to shrink/remove fibroids

A

GnRH agonists may reduce the size of the fibroid

surgical
- myomectomy
- hysteroscopic endometrial ablation
- hysterectomy
- uterine artery embolization

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