Endometriosis Already Passed

Adenomyosis Sx {Ans: dysmenorrhea &/or menorrhagia (heavy bleeding)}Vulvar dystrophy/non- neoplastic epithelial d/os of vulva {Ans: - atrophic or hypertrophic skin changes}Endometrial hyperplasia Pathogenesis {Ans: - The Cause: contiuous endogenous or exogenous estrogen w/o progestin - The Concern: can progress to endometrial carcinoma}Eval of Abnormal Uterine Bleeding {Ans: - Hx & physical - Labs Menorrhagia or menometrorrhagia Pelvic ultrasound}Postmenopausal bleeding Tx {Ans: Depends of Dx - HRT imbalance - correct it - Vaginal atrophy - vaginal estrogen - Endometrial polyps - resection or ablation - Endometrial cancer - refer to GYN Oncologist for hysterectomy & possible lymph node dissection}Lichen sclerosis {Ans: All ages, but more common in post-menopause, intermittent & recurrent atrophic}