Obs/Gynae Passmed Test Questions | 100% Correct Answers | Verified | Latest 2024 Version

A 38-year-old woman with a 4.5cm fibroid has been listed for a myomectomy following a 5 month history of heavy menstrual bleeding, What drug should be prescribed to be taken whilst awaiting surgery? - GnRH anaologue to reduce the size of fibroids In who are fibroids more common? - more common in Afro-Caribbean women rare before puberty, develop in response to oestrogen, don't tend to progress following menopause How do fibroids present? - Most are ASx Sx: - bleeding: longer, heavier periods; anemia - pressure: pelvic pressure and bloating; constipation and rectal pressure; urinary frequency or retention - pain: secondary dysmenorrhea, dyspareunia - pelvic sx: firm, nontender, irregular enlarged ("lumpy-bumpy") or cobblestone uterus may be seen How do we diagnose fibroids? - Transvaginal USS How do we manage fibroids? - -symptomatic management with a levonorgestrel-releasing intrauterine system is recommended by CKS first-line