MEWADARIKA R SHYLLA
153A-LA1
Разделы презентаций
- Разное
- Английский язык
- Астрономия
- Алгебра
- Биология
- География
- Геометрия
- Детские презентации
- Информатика
- История
- Литература
- Математика
- Медицина
- Менеджмент
- Музыка
- МХК
- Немецкий язык
- ОБЖ
- Обществознание
- Окружающий мир
- Педагогика
- Русский язык
- Технология
- Физика
- Философия
- Химия
- Шаблоны, картинки для презентаций
- Экология
- Экономика
- Юриспруденция
ADENOMYOSIS
Содержание
- 1. ADENOMYOSIS
- 2. Adenomyosis is a myometrial lesion characterized by
- 3. Слайд 3
- 4. The gland tissue grows during the menstrual
- 5. Risk factors for adenomyosis are -age
- 6. The typical symptoms include--Pelvic pain (In studies of
- 7. Diagnosis--Pelvic examination-CA 125 levels-in peripheral blood(adenomyosis is
- 8. Слайд 8
- 9. The diagnosis of adenomyosis by MRI is
- 10. Слайд 10
- 11. Presence-asymetrical uterine enlargement ill defined hypoechoic areas ADENOMYOSISNORMALULTRASOUND CHARACTERISTICS OFADENOMYOSIS
- 12. Слайд 12
- 13. Gonadotropin releasing hormone agonists in the treatment
- 14. Thirty-eight women with symptomatic adenomyosis with or
- 15. Adenomyosis is common in women< 35 years.It
- 16. THANK YOU.
- 17. Скачать презентанцию
Adenomyosis is a myometrial lesion characterized by the presence of ectopic endometrium with or without hyperplasia of the surrounding myometrium. It is associated with myometrial hypertrophy and may be either diffuse
Слайды и текст этой презентации
Слайд 2Adenomyosis is a myometrial lesion characterized by the presence of
ectopic endometrium with or without hyperplasia of the surrounding myometrium.
It is associated with myometrial hypertrophy and may be either diffuse or focal
Prevalence in women <35 yrs
A)9% in fertile women
B) 79% in women with coexisting endometriosis(based on MRI data)
Слайд 4The gland tissue grows during the menstrual cycle and then
at menses tries to slough, the old tissue and blood
cannot escapeThis trapping of the blood and tissue causes uterine pain in the form of monthly menstrual cramps.
It also produces abnormal uterine bleeding.
Слайд 5 Risk factors for adenomyosis are -age -multiparity -surgical disruptions of the
endometrial–-myometrial border -elevated levels of both FSH and prolactin (PRL), -smoking habits
and history of depression.
Слайд 6The typical symptoms include-
-Pelvic pain (In studies of chronic pelvic pain
in which women had hysterectomies, the incidence of adenomyosis is
about 15% to 25%)-Dysmenorrhea
-Dyspareunia
-abnormal uterine bleeding
Cyclic, cramping uterine pain beginning later in reproductive life (generally after age 35) and often associated with prolonged and heavy menses
-Common Physical Signs
diffusely enlarged uterus (rarely exceed 12 weeks gestation in size)
Particularly tender during menstruation
Слайд 7Diagnosis-
-Pelvic examination
-CA 125 levels-in peripheral blood(adenomyosis is associated with increased
numbers of myometrial macrophages, elevated antiphospolipid auto- antibodies and CA
125 levels )-Radio imagaging--
-Transvaginal examination Accuracy of ~85%
- MRI • Similar to or slightly higher accuracy than ultrasound
Слайд 9The diagnosis of adenomyosis by MRI is considered to be
established with a thickness of the junctional zone of 12
mm.Normal is 7-8mm
Слайд 11Presence-
asymetrical uterine enlargement
ill defined hypoechoic areas
ADENOMYOSIS
NORMAL
ULTRASOUND CHARACTERISTICS OF
ADENOMYOSIS
Слайд 13Gonadotropin releasing hormone agonists in the treatment of adenomyosis with
infertility
1)GnRH- agonists is efficient in reducing the adenomyotic uterine size,
and may facilitate fertility.For infertility, GnRH-alpha treatment before laparoscopic surgery greatly decreases surgical difficulties and blood loss in certain cases.
Слайд 14Thirty-eight women with symptomatic adenomyosis with or without uterine leiomyomas
were treated with UAE with calibrated tris-acryl gelatin microspheres.
The only
definitivetreatment for
adenomyosis is total hysterectomy, with or without ovarian conservation.
Слайд 15Adenomyosis is common in women< 35 years.
It probably contributes to
infertility by altering sperm trasnsport due to changes induce in
the junctional zone.MRI and TVS-similar sensitivity, MRI-higher specificity.
Medical treatment with GnRH@ depot for atleast 3 months prior to IVF appears to minimise any inhibitory effect on implantation.
