Read about our Gynecology Department & wide range of gynecologic conditions we treat including endometriosis, fibroids and gynecological cancers. INTRODUCTION. Gynaecological disorders are a common cause of morbidity among women of reproductive age worldwide. In developing countries. Different gynaecological conditions can produce similar symptoms. For example, women with polycystic ovary syndrome (PCOS) may have.
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Primary prevention includes public enlightenment campaigns about sexually transmitted infections, promotion of safer sex gynaecological disorders including use gynaecological disorders barrier methods, delaying the onset of sexual activity and antibiotic prophylaxis for women undergoing vaginal operations.
Early diagnosis and adequate treatment of lower genital infections and upper genital tract infections to prevent long-term complications are the secondary and tertiary preventive approaches respectively.
Adnexal Masses Adnexal masses complicated ovarian cysts and tuboovarian abscess are common gynaecological emergencies that typically present with lower abdominal pain. Most ovarian cysts that undergo complications are gynaecological disorders cysts particularly in younger women.
However, ovarian cysts may be malignant especially in older women. Complications of ovarian cysts include haemorrhage, rupture, torsion and infection.
Gynaecological conditions | Topic | NICE
Acute or sub acute symptoms may result from these complications. All could present with abdominal pain or referred pain along the cutaneous distribution of obturator nerve, i.
Ultrasound gynaecological disorders central to the diagnosis and management of tubo-ovarian abscess.
Ultrasound is unable to clearly define the borders of the ovaries and fallopian tubes; these structures are thus described as the tubo-ovarian complex. Analgesia, intravenous fluids and antibiotics are required. Prompt surgical intervention should be employed in patients with ruptured tubo-ovarian abscess with generalized peritonitis and septic shock [ 4 ].
Ultrasoundguided drainage, colpotomy, percutaneous drainage, ultrasound-guided transvaginal aspiration have been described, but the results are inconsistent [ 2 ]. Torsion gynaecological disorders Ovarian Cyst This is unusual with adnexal masses less than 5cm in diameter [ 44 ].
Most cases occur gynaecological disorders women of reproductive age. Ovarian torsion may also occur in association with ovarian hyper-stimulation syndrome OHSS where saving and conserving gynaecological disorders ovaries is crucial. Ovarian torsion occurs twice as common on the right probably due to the presence of sigmoid colon on the left [ 45 ].
Patients with ovarian torsion classically present with acute or sub-acute abdominal pain, nausea and vomiting and mild shock.
There may gynaecological disorders lower abdominal tenderness, rigidity and tenderness. Pelvic examination will reveal tender adnexal mass.
There is leucocytosis and low grade fever. Ovarian torsion may also gynaecological disorders with episodes of recurrent pain over a long period as the pedicle twists and untwists.
Gynaecological Emergencies in the Tropics: Recent Advances in Management
Finally the pain becomes continuous as the ovarian blood supply is cut off and the ovary becomes gangrenous. Gynaecological disorders is common and by the time patient comes to surgery, ovarian infarction has already occurred.
Rupture of Ovarian Cyst Ovarian cyst may rupture spontaneously or traumatically and signs and symptoms will depend on the amount and character gynaecological disorders the cyst content. Rupture of small cyst may gynaecological disorders silent but large cyst rupture may cause peritonitis and shock.
The contents of endometriotic and gynaecological disorders cysts are extremely irritant and hence cause severe symptoms such as abdominal pain, collapse and signs of acute abdomen.
However content of serous cyst are significantly less irritant.