Uterine fibroid

1. Name :- vijay arun borgaonkar
Class :- 3rd yr BHMS (2015)
summer 2023
Roll no. :- 03
Sub :- Gynacology ( flow charts)

2. Uterine fibroid
Types
Secondary changes in
Fibroid
Cervix
Body
Treatment
Symptoms
• Commonest benign fibroid of the uterus
1. Interstitial or intramural
2. Subperitonium or subserous
3. Submucous
1. Pseudocervical fibroid
1. Hyaline degeneration
2. Cystic degeneration
3. Fatty degeneration
4. Calcific degeneration
5. Red degeneration
1. Anterior cervical (micturition)
2. Posterior cervical (constipation)
3. Lateral cervical (vascular
obstruction)
4. Central cervical (bladder symptoms)
Supravaginal fibroid Vaginal part fibroid

3. Female Infertility
Objective
Diagnosis
Etiology
Types
Secondary
Primary
Combined factors
Tubal factors Uterine factors
Vaginal factors
Cervical factors
Ovarian factors
Diagnosis of ovulation
Cervical fator
Uterine factor
Tubal factors
Test of ovulation
• Failure to conceive with in one or more year of unprotected coitus

4. Contraception
Methods
Temporary Permanent
Barrier Natural Steroid
IUCD
Mechanical
Male
Female
Coitus
interruptus
Fertility
awareness
Chemical
Breastfeeding
amenorrhea Circulatory
disease
WHO Category 3
WHO Category 2
Absolute
Relative
Diseases Other
• Fertility control
• Highly effective, safe reversible, cheap, simple to use, etc
Tubectomy Vasectomy

5. Polycystic Ovarian Syndrome (PCOS/PCOD)
Diagnosis (based on 2 or 3 criteria)
Polycystic ovaries
Hyperantrogen
Oligo or anovulation
Menstrual Abnormality
Increased obesity
Clinical Feature
Acanthosis nigricans
Acne
Hirsutism
Investigation
Laparoscopy
Serum level
Sonography
Treatment
Weight loss
Insulin resistance
High serum oestrogen
To treat infertility
To treat hirsutism Lifestyle
-It is a syndrome manifested by
• Amenorrhoea
• Obesity
• Hirsutism

6. Dysfunctional Uterine
Bleeding(DUB
Oligomenorrhea
Polymenorrhea or
polymenorrhagia
Anovular
bleeding
Ovular Bleeding
Types
Functional
menorrhagia
Irregular shedding of
the endometrium
Cystic glandular
hyperplasia
Menorrhagia
Irregular ripening
of endometrium
• Abnormal uterine bleeding without any clinically detectable organic
systemic causes.