Patient Factors
Most common presentation of fibroids
FIGO types amenable to hysteroscopic resection
FIGO types most implicated in infertility
What are Submucosal: types 0,1,2
Timing of TXA use
What is 1-5 days per month during cycle.
Modality types for myomectomy
Bulk symptoms caused by fibroids
What are pelvic pain/pressure, urinary frequency/urgency, constipation
Two advantages of the resectoscope
What are access to cornua/fundus, hemostasis, reusable, cheaper
The risk of uterine rupture after a myomectomy
What is <1%
The mechanism of action of the IUD on AUB
What is endometrial atrophy
Salpingectomy at the time of hysterectomy is recommended to reduce this risk
The prevalence of clinically significant fibroids peaks during this time
What is perimenopause
Morcellation device with an angled scope
What is the resectoscope
A cesarean delivery is recommended at this gestational age
When is between 37 and 39 weeks
This medication has the most fibroid shrinkage
What is Lupron
In-bag morcellation is completed to reduce this risk
What is spillage of fibroid that could cause parasitic fibroids or dissemination of a sarcoma
What is PCOS, obesity, postmenopausal HRT
Risk of uterine perforation during hysteroscopy
What is <1.6%
Two mechanisms by which fibroid impact fertility
Duration of use for Lupron
What is 6 months without add back therapy and 12 months with
30%
This percentage of fibroids are symptomatic
What is 25%
The live pregnancy rate after UAE
70%
The dose for add back therapy with GnRH analogues
What is 1mg estradiol + 0.5mg norethindrone
Considerations for vaginal hysterectomy
What are patient and uterine factors