Term
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Definition
-Benign disease of the uterus
-Occurs when endometrial tissue moves into the outer muscular layer of the uterus |
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Term
| When is diagnosis of adenomyosis typically diagnosed? |
|
Definition
| 40-50s and is often made after hysterectomy |
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Term
| Who is at higher risk of getting adenomyosis? |
|
Definition
Women who have given birth
Women who have a hx of pelvic surgery |
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Term
| What is the pathophysiology of adenomyosis? |
|
Definition
-Exact patho is unknown
-Common theory: it develops from invagination of the endometrium into the myometrium |
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Term
| What s/s will a patient with adenomyosis present with? |
|
Definition
-Dysmenorrhea
-Menorrhagia
-Pelvic Pain
-Dyspareunia |
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Term
| What will a bimanual exam on a woman with adenomyosis reveal? |
|
Definition
| A uterus that is larger in size and is soft and tender |
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Term
| What imaging method is most commonly used when adenomyosis is suspected? |
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Definition
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Term
| What is the gold standard of treatment for adenomyosis? |
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Definition
|
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Term
| What are some medical treatment options for Adenomyosis? |
|
Definition
-Mirena
-COCs
-NSAIDs
-Pain meds |
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|
Term
| What are some surgical options for management of adenomyosis? |
|
Definition
| -Endometrial ablation or resection |
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|
Term
| S/S of adenomyosis usually go away on their own with? |
|
Definition
|
|
Term
| What is a cervical polyp? |
|
Definition
-Most are benign
-Tear shaped growth found on the surface of the cervix |
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Term
| S/S of cervical polyp are? |
|
Definition
-postcoital bleeding
-spotting or bleeding between periods |
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Term
| If patient has cervical polyp and is asymptomatic and not atypical in presentation then... |
|
Definition
| the polyp can be left alone |
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Term
| What is the treatment for a symptomatic or atypical cervical polyp? |
|
Definition
| Remove polyp and send to lab |
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Term
| If woman is pregnant and has a cervical polyp what is the treatment? |
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Definition
-Leave it alone until after pregnancy
-If it looks urgent then refer for a biopsy |
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