Feb 08, 2023
Endometriosis and adenomyosis are important topics for the NEET PG/NExT exam. These are gynecological conditions that can cause significant symptoms and complications for affected women. As such, they are covered in the syllabus of NEET PG, and a strong understanding of these conditions is important from the exam point of view.
In this medical notes blog, we have covered all important details pertaining to the topic. Read it further for a quick overview.
Endometriosis is a medical condition in which the tissue that normally grows inside the uterus grows outside of it, resulting in pain and potential infertility. It can affect various parts of the body including the ovaries, fallopian tubes, and pelvic cavity.
Q. 18 year old girl presents with partial transverse vaginal septum with dysmenorrhea and chronic pelvic pain. Which of the following is the likely complication?
B. Tubo-ovarian abscess
C. Dermoid cyst
D. Theca Lutein cyst
Age of Presentation: 3rd to 4th decade
Some common sites of endometrial tissue growth include:
Endometriosis can cause a range of symptoms, including -
Q. A woman with endometriosis is likely to suffer from it?
A. Infertility and dysmenorrhea
B. Infertility and irregular vaginal bleeding
C. Dysmenorrhea and Irregular vaginal bleeding
D. dysmenorrhea and Vaginal discharge
Q. A nulliparous 29-year-old woman presents with infertility. On examination, uterus is felt to be normal in size but is retroverted and fixed. Also. there is tenderness in posterior vaginal fornix. Diagnosis?
C. Fibroid uterus
D. Ovarian malignancy
Treatment options for endometriosis include:
1. INJ Depo medroxyprogesterone acetate 150 mg once in 3 months
2. Tab Danazol
3. Combined oral contraceptive pills
4. GnRH Analogues: Depot or Continuous Form
Ques. 25 yrs with chocolate cyst. Surgery is done: what next?
Ans. Medical management till conception
→ Estrogen dependent osteoblastic action will stop
→ Estrogen independent osteoblastic action will continues Osteoporosis
Q. 29 year old nulliparous lady presented with endometriosis and infertility. On laparoscopy there were severe pelvic adhesions and uterus had bowel stuck to its fundus with dense adhesions. The ovaries were cystic each around 6 - 8 cm in size and stuck to each other (kissing ovaries). What is the next line of management?
A. GnRH analogues
C. Hysterectomy with oophorectomy
D. B/L cystectomy with adhesiolysis and plan for IVF
Adenomyosis is a condition in which the endometrial tissue, which normally lines the uterus, grows into the muscular wall of the uterus.
Q. A 38 year old P3L3 woman presents with secondary dysmenorrhea and on USG there is uniform enlargement of uterus upto 10 cms. What is the provisional diagnosis? (FMGE 2020)
Diagnosis of adenomyosis is typically made through a combination of a medical history review, a physical examination, and imaging tests such as an ultrasound, MRI, or a hysterosalpingography. In some cases, a biopsy may be necessary to confirm the diagnosis.
2. Uterine Biopsy/ Post Hysterectomy Uterine Analysis
Treatment options for adenomyosis include:
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