uterine pathologies

Question 1

leiomyoma vs adenomyosis

Answer 1

asymmetric vs symmetric
firm non tender vs soft and tender and boggy
menorrhagia and infertility vs dysmenorrhea

Question 2

adenomyosis

Answer 2

HMB, dysmenorrhea, symmetrically enlarged uterus

Question 3

endometrial polyp symptoms

Answer 3

AUB, subfertiliy

Question 4

endometrial polyp risk factors

Answer 4

obesity
late menopause
partial estrogen agonist (tamoxifen)
HRT

Question 5

endometrial polyp investigations

Answer 5

outpt hysterscopy

saline infusion sonography

Question 6

asherman treatment

Answer 6

adhesiolysis in outpt hysterscopy

Question 7

endometrial hyperplasia types

Answer 7

simple (1%)
complex 3.5%
atypical

Question 8

risk factors for endometrial cancer

Answer 8

unopposed estrogen (HRT, early menarche late menopause, nulliparity, PCOS, breast cancer)
obesity (DM, HTN)
hereditary ( Lynch 2)
tamoxifen

Question 9

endometrial cancer presentation

Answer 9

PMB
premenopausal- AUB
PV discharge and pyometra

Question 10

endometrial biopsy

Answer 10

endometrial thickness more than or equal to 4 mm
postmenopausal- any bleeding/ spotting
premenopausal- aub/ amenorrhea in setting of unopposed estrogen

Question 11

adjuvant radiotherapy

Answer 11

reduce risk of recurrence but no survival advantage to women with stage 1b and intermediate risk