Treatment Of Endometriosis And Dysfunctional Uteri
Treatment of Endometriosis and Dysfunctional Uteri
Exam (elaborations)
Treatment of Endometriosis and Dysfunctional Uterine Bleeding (DUB) || A+ Verified Solutions.
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Treatment of Endometriosis and Dysfunctional Uteri
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Treatment Of Endometriosis And Dysfunctional Uteri
endometrium correct answers lining of the uterus
what happens with endometriosis? correct answers the endometrium grows outside of the uterus- comes through the open ends of the fallopian tubes - complications can come from the endometrium covering ovaries, blocking fallopian tubes, etc.
what...
Treatment of Endometriosis and Dysfunctional Uterine
Bleeding (DUB) || A+ Verified Solutions.
endometrium correct answers lining of the uterus
what happens with endometriosis? correct answers the endometrium grows outside of the uterus-
comes through the open ends of the fallopian tubes - complications can come from the
endometrium covering ovaries, blocking fallopian tubes, etc.
what can endometriosis seem like at first? correct answers dysmennorhea
what are the risk factors for endometriosis? correct answers -nulliparity (haven't had any children
-one or more female relatives with endometriosis (mother, aunt, sister)
-menstrual cycle <27 days with 8+ days of bleeding
-any medical condition that affects menstrual blood flow
-personal history of pelvic infection
-age: late 20s to early 30s
what are the goals of treating endometriosis? correct answers -minimize or remove endometrial
lesions
-prevent disease progression
-minimize painful symptoms
-maintain and or improve fertility (common for it to interfere with fertility)
what are the treatment options for endometriosis? correct answers -expectant management
-drug therapy
-surgical treatment
-combination of drug therapy and surgical treatment
expectant management correct answers -watchful waiting
-best for asymptomatic patients because therapy is only indicated if the patient becomes
symptomatic
what treatment options are best for asymptomatic patients? correct answers expectant
management
what to take into account when choosing therapy? (medications/surgical treatment) correct
answers -location and extent of the disease
-desire for future fertility
-cost
-contraindications to therapy
-potential adverse effects of therapy
what are the pros for drug therapy for endometriosis? correct answers avoids risks and
shortcomings of surgery
, what are the cons of drug therapy for endometriosis? correct answers -does not preserve fertility
-adverse effects of the medications
-high recurrence rates (30-75% within 2 years)
what is the first line and alternative drug therapy treatment for endometriosis (if experiencing
dysmenorrhea)? correct answers -first line-OCPs and /or NSAIDs
-alternatives- progestins, Danazol, and GnRH Analogs
normal reproductive cycle correct answers estrogen dominance up to ovulation and the the
follicle ruptures and then becomes corpus luteum and then progesterone until around day 25
what happens when you give people with endometriosis birth control? correct answers you are
giving them both estrogen and progesterone throughout the month and its non-physiologic and
the endometrium tends to thinner and that will act to improve endometriosis (if cant have
estrogen then use other options)
what is the MOA for oral contraceptives for endometriosis? correct answers decreases menstrual
flow and cause regression of endometrial implants
what is the dose for oral contraceptives for endometriosis? correct answers 1 tablet PO daily
what are the ADRs for oral contraceptives? correct answers Nausea, bloating, HA, breakthrough
bleeding
what are the contraindications for oral contraceptives? correct answers history of
thromboembolism, 35+ years and smoker
what is the cost for oral contraceptives? correct answers $10-$50 per month
what is the MOA for NSAIDs? correct answers interfere with the production of prostaglandins
which leads to reduced pain
what is the dose for ibuprofen and naproxen? when start and how frequent? correct answers -
Ibuprofen- 400-600mg po q4-6h
-Naproxen- 250mg po q6-8h
-begin therapy 24 hours before expected pain
-ATC may be beneficial
ADRs of NSAIDs? correct answers nausea, epigastric pain, heartburn
precautions of NSAIDs? correct answers reactive airway disease, renal impairment, or history of
GI ulcer
cost of NSAIDs? correct answers ~20$ per month
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