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859-III
Endometriosis
20
Nursing
Graduate
03/04/2012

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Cards

Term
Endometriosis is
Definition
presence of endometrial glands outside of the uterus
Term
Most common sx of endometriosis is
Definition
pelvic pain
Term
Endometriosis is dx by
Definition
laparascopy w/biopsy
Term
Risk factors for endometriosis
Definition
Family hx (first degree relative)
Menarche before age 11
Cycles shorter than 27 days
Term
What factors reduce the risk for endometriosis?
Definition
Higher parity
Increased duration of lactation
More than 4 hours/week of exercise
Term
True or False: Estrogen is a fertilizer for endometriosis
Definition
True
Term
#1 spot of endometriosis
Definition
ovaries
Term
#2 spot for endometriosis
Definition
behind the uterus
Term
Treatment is dictated by
Definition
symptoms and whether pregnancy is desired
Term
True or False: Medical therapy should not be applied in patients actively seeking pregnancy
Definition
True
Term
Treatment (first line)
Definition
NSAIDs (decreases pain & dysmenorrhea)
OCPs/Progestin (thins lining)
Term
If first line tx does not work...
Definition
don't forget to r/o non-gyn causes
Term
True or false: medical and surgical tx is associated w/increased risk of reoccurence
Definition
True
Term
Clinical Presentation of Endometriosis
Definition
-Dysmenorrhea
-Dyspareunia
-GI Sx (cyclic diarrhea, constipation, painful defecation)
-Dysuria, Hematuria, nocturia
-Lumbosacral pain
-infertility
Term
Fertilizer for endometriosis
Definition
estrogen
Term
OCPs
Definition
thins lining so decreased blood flow = decreased pain b/c reduced retrograde menstruation
Term
NSAIDs
Definition
decreases pain and dysmenorrhea
Term
SE of Danazol
Definition
deepening voice if it happens is permenant
Term
How long does pain go away for on average after surgery?
Definition
6-12 months
placebo effect
Term
Risks for reoccurrence
Definition
-presence of adhesions
-previous surgery for endometriosis
-use of ovulation induction meds after surgery
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