4. I. THE MALFORMATIONS
1.Faliure of Recanalization:
- Imperforate hymen or
transverse septum
- Cruciate Incision in the hymen
2.Failure of Ducts to form or fuse:
12. THE TUMORS…
CERVICAL TUMORS:
Cervical Polyp:
- Most common
- Columnar to squamous
metaplasia
- May ulcerate
- Intermittent/postcoital bleed
- Remove by twisting pedicle
15. THE TUMORS…
2.) Uterine Fibroids:
Gen. Considerations:
- Most common tumor of the GT
- Smooth muscle fibers interspersed
with connective tissue
- More common in nulliparous women
- Etiology unclear
- Post Menopausal Atrophy
- Types
16. Symptoms:
- Depend on size and position of fibroid
- Mostly asymptomatic
- Abnormal uterine bleeding
- Pelvic pressure and discomfort
Diagnosis:
- On PA
- Pelvic U/S
18. Effect of:
i) Pregnancy on Fibroid:
“ Red Degeneration”
ii) Fibroid on Pregnancy:
- Spontaneous Miscarriage
- Large tumor malpresentation of
fetus
- Can Obstruct Labour
- Bladder/Bowel Symptoms
- PPH
19. Manage Fibroid in Pregnancy:
- * AVOID Myomectomy
- If labour obstructed go for CS