UNC Obstetrics and Gynecology Clerkship

UNC Obstetrics and Gynecology Clerkship Case Based Seminar Series

Topic Endometriosis APGO Objectives 38 Beckman & Ling, 6th ed. 29 Hacker & Moore, 5th ed 25(298-303)

A 34 year old active duty Navy Pilot G0 presents to the infertility clinic with chronic pelvic pain and infertility. She complains that her menses are always painful, heavy, and associated with diarrhea and bloating. Because of her job as a pilot, she often did not take anything for the pain, but now she is getting worried since she and her husband have been unable to conceive a child after attempts >14 months. She is otherwise in excellent health. She notes that her mother and older sister also complained of heavy and painful periods. Please discuss the diagnosis and management of this patient.

1. What is this patient’s diagnosis? 2. Compare and contrast adenomyosis and endometriosis 3. Describe the theories of pathogenesis of endometriosis? 4. What symptoms are commonly associated with endometriosis? 5. What common physical exam findings are associated? 6. Can ultrasound be used to diagnose endometriosis? 7. How do you make this diagnosis? 8. What anatomic locations in the pelvis are most common for endometriosis? 9. How do you manage endometriosis medically? Surgically?

UNC Obstetrics and Gynecology Clerkship Case Based Seminar Series