OBGY OPEN BLOG

Management of Fibroids

Management of fibroids includes investigations and treatment Investigations •Hb, blood group •Ultrasound: location, size, number,for follow up of fibroids after menopause and during GnRH therapy •Hysterosalpingography and salpingography: to identify submucous fibroid and to check patency of fallopian tubes in infertility. •Hysteroscopy: to identify a submucous polyp and excising it under direct visualisation. •D and …

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Clinical features and complications of Fibroids

Clinical features of uterine fibroids include : Symptoms -About 50% fibroids are asymptomatic –Menorrhagia, polymenorrhea, metrorrhagia, continuous bleeding. postmenopausal bleeding –infertility -Pregnancy complications: recurrent abortions, malpresentation, preterm labor, obstructed or prolonged labor, IUGR. -pain: abdominal pain, backache, spasmodic dysmenorrhea -abdominal lump, mass protruding at introitus –pressure symptoms: on bladder, ureters, rectum -vaginal discharge Signs –Anemia …

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Fibroids anatomy, types and Etiology

Fibroids are also called myoma/leiomyoma/fibromyoma Features of fibroids: -benign smooth muscle tumour of the uterus -estrogen dependent -whorled appearance -pearly white in colour Anatomy of fibroids -well circumscribed -pseudocapsule (contain blood vessels) -cut surface: whorled appearance, pinkish white Types of uterine fibroids a. Cervical– anterior, posterior, central, lateral b. Body of uterus– intramural: the tumour …

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Misplaced IUCD

It is a condition when the tail of the IUCD is not seen through the os. Causes: 1.uterus has enlarged through pregnancy 2.it has been expelled 3.thread has curled inside the uterus 4. perforation has occurred and IUCD is buried in the myometrium Methods of identification : 1.Plain radiograph or ultrasound to check if IUCD …

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Natural contraception

Natural contraception includes: 1.Rhythm method it is based on identification of fertile period during a cycle and to abstain from sexual intercourse during that period. There are three methods –Calendar rhythm: recording of previous menstrual cycles –Temperature rhythm: noting the basal body temperature chart –Mucus rhythm: noting excessive mucoid vaginal discharge. 2.Coitus interruptus: withdrawal of …

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