Pelvic Inflammatory Disease (PID)
- Neisseria gonorrhoeae
- Chlamydia Trachomatis
- Cervical Motion Tenderness
- Chandelier Sign
- Salpingitis
- Tubo-ovarian abscess
- Hydrosalpinx
- Ectopic Pregnancy
- Infertility
- Adhesions
- Fitz-Hugh-Curtis Syndrome
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
Polycystic Ovarian Syndrome (PCOS) Mechanism
- Hyperinsulinemia Increases GnRH Pulse Frequency
- Large Increase in LH
- Small Decrease in FSH
- Increased Androgen Production From Theca-Lutein Cells
- Decreased Steroid Hormone-Binding-Globulin (SHBG) Causes Increased Free Testosterone
- Obese Patients Have Increased Estrogen
- Increased Risk of Endometrial Cancer
Polycystic Ovarian Syndrome (PCOS) Symptoms and Diagnosis
- Most Common Cause of Infertility in Women
- Amenorrhea
- Acne
- Hirsutism
- Obesity
- Enlarged, Cystic Ovaries
- LH:FSH Ratio of 3:1
- "String of Pearls" on Ultrasound
Polycystic Ovarian Syndrome (PCOS) Treatment
- Weight Loss
- Oral Contraceptives
- Clomiphene Citrate
- Anti-androgens
- Cyclic Progesterone for Endometrial Protection
- Metformin
Menopause Symptoms
- HAVOCS Mnemonic
- Hot Flashes
- Atrophy of Vagina
- Osteoporosis
- Coronary Artery Disease (CAD)
- Sleep disturbances
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
Cervical Cancer Screening
- Women Aged 21-65 Years
- Pap Smear Every 3 Years
- Women Aged 30-65 Years
- Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years
- Identify Lesions
- Cryotherapy
- Loop Excision
- Cold Knife Conization