Page 1
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 2
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 3
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 4
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 5
Benign gynaecological disorders
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Menstrual disorders (amenorrhoea,metrorrhagia, menorrhagia
PainVaginal dischargeInfertilityHot flushesUrinary incontinenceSwelling PyrexiaBloatingWeight gainWeight loss
Page 6
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
• General physical examination• Inspection, exposure of internal
structures• Colposcopy• PAP-smear, HPV-typing• Bimanual examination, rectal
examination• Special investigations (US, O-
HSC, Haematology, Biochemistry, Endocrinology, Microbiology, Marker-studies, Endometrial biopsy, CT/MRI, Urodynamics)
Page 7
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 8
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 9
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids,
adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 10
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids,
adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 11
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis, inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s
Page 12
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids, adenomyosis• Ovarian: polycystic ovary, cysts• Vulval: Bartholin’s
Page 13
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: Bartholin’s cyst
Page 14
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: atrophy
Page 15
Benign gynaecological disorders
• Menstrual disorders, inflammation, benign tumours, infertility
• Signs, symptoms• Diagnostic work-up• Excluding malignancy• Pelvic: endometriosis,
inflammation• Uterine: fibroids, adenomyosis• Ovarian: cysts• Vulval: genital herpes