Скачать или смотреть 81. Adenomyosis🌸 OBG for USMLE Step 2 CK | Pathophysiology, Diagnosis & Management

📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- https://t.me/conceptualmedicine
📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- https://www.instagram.com/conceptual_...

Adenomyosis🌸 OBG for USMLE Step 2 CK | Pathophysiology, Diagnosis & Management

In this high-yield lecture, we discuss adenomyosis, a benign but clinically significant gynecological condition in which endometrial glands and stroma invade the myometrium, leading to a diffusely enlarged uterus. This disorder is a classic differential diagnosis for abnormal uterine bleeding and pelvic pain, making it highly relevant for USMLE Step 2 CK and clinical gynecology practice in Western healthcare systems.

We begin with the pathophysiology, explaining how ectopic endometrial tissue within the myometrium responds to cyclical hormones, resulting in menorrhagia, dysmenorrhea, and chronic pelvic pain. The uterus is typically symmetrically enlarged, globular, and tender on exam, often misdiagnosed as fibroids.

Risk factors include multiparity, middle age (40–50 years), and prior uterine surgery. Diagnosis is suspected clinically and confirmed with imaging—transvaginal ultrasound or MRI demonstrating a thickened junctional zone and heterogeneous myometrium.

Management depends on symptom severity and fertility goals:

Medical therapy: NSAIDs, combined oral contraceptives, progestins, levonorgestrel intrauterine system, or GnRH analogs for temporary relief.

Definitive treatment: hysterectomy, reserved for women with severe, refractory symptoms who have completed childbearing.

Clinical importance lies in differentiating adenomyosis from leiomyomas and endometriosis, as management differs. By linking pathology, clinical features, diagnosis, and treatment, this lecture equips medical students, residents, and clinicians with the knowledge required for both Step 2 CK-style case scenarios and real-world gynecologic care in Western settings.

#Adenomyosis #USMLEStep2CK #AbnormalUterineBleeding #Gynecology #ObstetricsAndGynecology #PelvicPain #MaternalFetalMedicine #ClinicalObGyn #USMLEPreparation #MedicalStudentsUSA #DoctorEducation #MedicalEducationUSA #Step2CKPrep #USMLEVideos #OBGYNClerkship #HighYieldGynecology #ConceptualMedicine #MedicalConcepts #NEETPGPrep #FMGE2025 #USMLE2025 #ClinicalMedicine #MBBSConcepts #NextExamPrep #MedSchoolMadeEasy #MedStudentLife #HighYieldMedicine #PathophysiologySimplified #LearnMedicineFast #VisualMedicine #MedicalMnemonics #CrackNEETPG #USMLEStep1Prep #MedEducationRevolution #MBBSShorts #DoctorInTheMaking