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Flashcards in Uterus Deck (21)
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What is hematometrocolpus

Blood in the uterus

1

Mc benign cx finding

Cx polyp

2

Menometrorrhagia

Irregular menstrual bleeding in frequency and cycle

3

Menorrhagia

Heavy period

4

Uterus

Pear shape muscular organ
Located between bld and rectum
Functions: menstruation, pregnancy, labor
Fundus, body/corpus, isthmus, cervix

5

Uterus layers

Serosa/Perimetrium: outer
Myometrium: middle muscle
Endometrium: inner mucosal

6

Endometrium layers

Basal layer/ Deep: regenerates new endo
Functionalis / superficial: supports tissue that sheds with menses

7

Uterine meas

Child : 1-3cm
Nulliparous: 6-8 cm
Multiparous: 8-10 cm
Post menopausal: 3.5-5.5 cm

8

Menopause

1 year without menses

9

Endo size

After puberty: 7-14 mm
Menopausal: < 5 mm
Menopausal without hormones: < 8mm

10

Uterine position

Anteverted
Retroverted
Anteflexed
Retroflexed
Dextroversion: tilt right
Levoversion: tilt left

11

Leiomyoma / fibroid / myoma

MC benign GYN tumor
Black
2/3 degenerate. May be benign or malignant.
Heavy prolonged menstruation, pain
May cause miscarriage

Uterine enlargement
Heterogeneous
Variable echoes
Inc attenuation

12

Cervical fibroids

Impede vaginal delivery

13

Types of fibroids

Submucosal: in endo, most symptoms
Intramural: MC, in myometrium
Subserosal: close to surface
Pedunculated: protrudes
Wandering myoma: develops own blood supply & breaks away
Intraligamentous myoma: grows between broad lig

14

Endometriosis

Ectopic endometrial tissue
Cyclic pain
Infertility
Painful inter course dyspareunia
Pelvic pain

15

Endometrioma

Focal endometriosis
Chocolate cyst in ovary homogeneous
Cyclic pain

16

Adenomyosis

Endo tissue within myometrium
Small cyst in myometrium enlg uterus
Honey comb pattern

Focal: adenomyoma

17

Endometrial Polyp

Histosonogram performer to confirm

18

Endometrial hyperplasia

Abnl thick of endo
Due to inc estrogen, tamoxifen

19

Tamoxifen

Used in post meno females with hx of Breast cancer.
Causes endo thick

20

Endometrial cancer

Common
Post menopausal females

Post menopausal bleeding, abnl discharge, pain
Thick endo, lots of color flow.

Due to inc estrogen, nulliparous, fail to ovulate, early period, late meno, obesity, short.

Stage 1: body
Stage 2: body & cx
Stage 3: outside uterus
Stage 4: outside true pelvis, mets