Endometriosis Characteristics
- Endometrial Tissue Outside of Uterus
- Glands and Stroma
- Most Common in Ovary, Pelvis, Peritoneum and Bowels
- "Chocolate Cyst" in Ovary
- Adenomyosis
- Retrograde Flow
- Metaplastic Transformation
- Mullerianosis
Endometriosis Symptoms and Treatment
- Dysmenorrhea
- Cyclic Pelvic Pain
- Dyschezia
- Dysuria
- Dyspareunia
- 30-40% are Infertile
- Surgery
- NSAIDs
- OCPs
- Progesterone (Progestins)
- GnRH Agonists
Endometrial Hyperplasia
- Unopposed Estrogen
- With or Without Atypia
- Postmenopausal Vaginal Bleeding
- Amenorrhea
- Menorrhagia
- Metrorrhagia
- Short Menstrual Cycles
- Transvaginal Ultrasound
- Progesterone
- Endometrial Carcinoma
Endometritis
- Postpartum Endometritis
- Cesarean Birth
- Fever
- Uterine Tenderness
- Acute Endometritis
- Neutrophils
- Pelvic Inflammatory Disease (PID)
- Chronic Endometritis
- Plasma Cells
- Idiopathic
- Gentamicin + Clindamycin
- Ampicillin-Sulbactam
Asherman Syndrome
- Endometrial Adhesions or Fibrosis
- Pelvic Inflammatory Disease
- Dilation and Curettage (D&C)
- Infertility
- Recurrent Miscarriages
- Abnormal Uterine Bleeding
- No Bleeding after Progesterone Withdrawal
- Honeycomb Uterus
- Surgical Resection
Uterine Leiomyoma (Fibroids) Characteristics and Presentation
- Most Common Gynecologic Tumor
- Benign Smooth Muscle Tumor
- Early Menarche
- Hormone Sensitive
- African Americans
- Abnormal Menses
- Infertility
- Urinary Symptoms
- Irregularly Enlarged Uterus
Endometrial Carcinoma
- Most Common Genital Tract Cancer
- Located at the Endometrium
- Irregular Vaginal Bleeding
- Type 1 is Endometrial Carcinoma
- Unopposed Estrogen Stimulation
- Obesity
- Loss of Tumor Suppressor PTEN
- Loss of Mismatch Repair
- Type 2 is Serous Carcinoma
- Aggressive
- Psammoma Bodies
- TVUS/Endometrial Biopsy
- Total Hysterectomy/with Bilateral Salpingo-Oophorectomy