Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
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A 30 yr old G0 woman with a PMH significant for dysmenorrhea presents to the infertility clinic with her housband for a follow up visit. The couple has been trying to get pregnant for the past 3 years but has not had any success. A semen analysis and a hysterosalpingogram, as well as estrogen, progesterone, and FSH blood levels were all normal. A recent pelvic ultrasound revealed a 3 cm well circumscribed mass on the patient's left ovary. Her LMP was 3 weeks ago. The couple presents now to discuss the possibility of a diagnostic laproscopy.
1) What is the most likely cause of this patient's infertility?
2) How is this condition diagnosed?
3) What is the pathgenesis of this condition?
4) What treatment options are available?
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| me007
Forum Guru
Topics: 72
Posts: 799
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1. endometriosis
2. laparoscopy
3. endometrial implants, tubal motility abnormality and tubal obstruction from adhesions
4. NSAIDs, OCPs, surgical
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 634
|
1. Endometriosis
2. laproscopy/laparotomy. Surgery is not only diagnostic intervention but theraputic as well
3. The pathogenesis of endometriosis is presumed to be retrograde menstration. Endometrial tissue flows from the uterus through the fallopian tubes and into the abdominal cavity during menses (ew!). The tissue subsequently invades and proliferates in the peritoneum, resulting in endometrial lesions or cysts.
4. Tx: Surgical intervention with lysis of adhesions, excision of cysts, and laser ablation of lesions. Medical intevention includes OCP to decrease retrograde menstrual flow.
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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