This document discusses common gynecological problems including leiomyomas (uterine fibroids), adenomyosis, endometrial polyps, endometriosis, and gynecological causes of abdominal pain. Leiomyomas are benign tumors that originate from the myometrium and are the most common gynecological tumors. Adenomyosis is the invasion of endometrial tissue into the myometrium. Endometrial polyps are benign growths that can cause abnormal uterine bleeding. Endometriosis is the growth of endometrial tissue outside the uterus which can cause pelvic pain and infertility. Abdominal pain has various potential gynecological causes including conditions of the

1. OBSTETRIC & GYNECOLOGY COMMON GYNECOLOGICAL PROBLEMS Part II Pascale Gehy-Andre PA-C

2. Common Gynecological Problems LEIOMYOMA ADENOMYOSIS ENDOMETRIAL POLYPS ENDOMETRIOSIS GYNECOLOGICAL ABDOMINAL PAIN

3. Leiomyomas

4. Leiomyomas

12. Leiomyoma of the Uterus

13. LEIOMYOMA History -Most are asymptomatic Symptoms depends on size, location, pregnancy, sarcomatous degeneration (0.1 to 0.5%) Abnormal uterine bleeding; most common -Menorrhagia, metrorrhagia Dysmenorrhea is not a typical feature Pain: Vascular compromise, torsion, infection Large fibroids can put pressure on the rectum causing constipation. Fever, spontaneous abortion, infertility

18. ADENOMYOSIS INTERNAL ENDOMETRIOSIS

21. ADENOMYOSIS

22. ADENOMYOSIS

24. ENDOMETRIAL POLYPS

56. ETIOLOGY CHRONIC PELVIC PAIN

58. Fistulas

63. Salpingitis