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13 Cards in this Set

  • Front
  • Back
who was credited with endometriosis - retrograde menstruation
John Sampsom - 1927
How do ectopic endometrial cells and tissue differentiate from normal endometrium?
look it up
what its the probability of those with first degree relative?
3-10x more likely
what is the benefit of rectal-vaginal examination?
to rule out utero-sacral nodularity
to assess rectal involvement
what is the role for CA125 in endometriosis?
not very helpful
what are ancillary tests for endo
colonoscopy
cystoscopy
rectal US
Diagnostic laparoscopy not req'd for treatment
what is mirena approved for by health canada?
contraception
menorrhagia
what are some medical therapies for endometriosis?
Danazol
GNRH agonists - with add back therapy
Aromatase inhibitors -no prevention of endometriomas
when should you provide surgical intervention?
not responsive to medical therapy
contra-indicated for medical management
suspected of having deep invasion
-
-
If you see endometriosis for other surgery - should you treat?
NOt necessary
what are LUNA
Pre-sacral neurectomy

appendectomy
uterine suspension
look up
what are the success rates for IVF of those with endometriosis
50% lower success in IVF outcomes for those with endometriosis vs. tubal factors only
what is the NNT for laparascopy for 1 additional pregnancy in endometriosis
8 laparoscopies
ENDOCAN study

36.6 vs. 21.9%
NNT - 8