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Adenomyosis: Key Facts and Treatments

Adenomyosis is characterized by menorrhagia and is often linked to uterine trauma as a major risk factor. The Endometrial Invasion Theory explains its development, and imaging studies confirm its presence through poorly defined junctions in the myometrium. Treatment options include hysterectomy as the definitive solution, while hormonal therapies like LNG-IUS can manage symptoms effectively.

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Joshua Jerard Guillermo
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120 views2 pages

Adenomyosis: Key Facts and Treatments

Adenomyosis is characterized by menorrhagia and is often linked to uterine trauma as a major risk factor. The Endometrial Invasion Theory explains its development, and imaging studies confirm its presence through poorly defined junctions in the myometrium. Treatment options include hysterectomy as the definitive solution, while hormonal therapies like LNG-IUS can manage symptoms effectively.

Uploaded by

Joshua Jerard Guillermo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

1. What is the term for the excessive menstrual bleeding commonly seen in adenomyosis?

Answer: Menorrhagia
2. Which of the following is a major risk factor for adenomyosis?
a. Ovarian cysts
b. High testosterone levels
c. Uterine trauma (C-section, D&C, myomectomy)
d. Polycystic ovary syndrome (PCOS)
3. What theory explains adenomyosis as a result of endometrial glands invading the
myometrium due to uterine trauma?
Answer: Endometrial Invasion Theory
4. Give one differential diagnosis for Adenomyosis (any of the ff)
a. Uterine fibroids, also known as leiomyomas
b. Endometriosis
c. Endometrial Hyperplasia or Endometrial Polyps
d. Chronic Endometritis
e. Uterine malignancies
f. Pelvic Congestion Syndrome
5. What percentage of patients with adenomyosis are asymptomatic or have minor
symptoms? Answer: 50% of patients.
6. What confirms the presence of adenomyosis in imaging studies?
a. Clearly defined junction; zone markings in the myometrium
b. Poorly defined junction; zone markings in the endometrial-myometrial
interface
c. High signal intensity striations in the ovaries
d. Normal appearance of the endometrial-myometrial interface
7. It is the definitive treatment for adenomyosis.
a. LNG-IUS
b. Hysterectomy
c. Endometrial ablation
d. Uterine artery embolization

8. It is a hormonal therapy for symptomatic adenomyosis effective in increasing


hemoglobin levels, decreasing dysmenorrhea and reducing blood loss and has an
effective duration of action of more than 5 years.
a. LNG-IUS
b. Hysterectomy
c. Endometrial ablation
d. Uterine artery embolization
9. This is a hormonal therapy used to reduce symptoms of adenomyosis but it causes
menopausal-like side effects leading to limited use.
a. GnRH agonist
b. Danazol
c. Oral Contraceptive Pills
d. Tranexamic Acid

10. How can healthcare providers support patient autonomy?


a) Making all decisions for the patient
b) Providing comprehensive information and respecting patient choices
c) Ignoring the patient's preferences
d) Only discussing treatment options with the patient's family

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