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gynecology_1.1_fibroid (v hormonal (oral progestogen (norethisterone),…
gynecology_1.1_fibroid
investigations
transabdominal (full bladder), transvaginal (empty bladder) ultrasound
endometrial sampling (pipelle), hysteroscopy
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physical examination
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vaginal
speculum, bimanual examination
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surgery
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myomectomy
(FIBROID: recurrence)
(SURGERY: uncontrolled bleeding: hysterectomy, adhesion: tubal patency)
(FUTURE PREGNANCY: 6 months later, Caesarian section, uterine rupture :cry:)
how to choose
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x symptoms
v fertility
v cavity distorsion
(intramural, submucosal)
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x cavity distorison
(intramural, submucosal)
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differential diagnosis
functional
dysfunctional uterine bleeding (ovulatory, anovlatory)
structural
myometrium
(intramural, submucosal) fibroid, adenomyosis
endometrium
cancer/hyperplasia, polyp, endometritis
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others
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hypothyroidism, Cushing's disease
anticoagulant, coagulopathy (von Willebrand disease), ITP