Uterine conditions FA2020 p648

• Adenomyosis - extension of uterine endometrial glandular tissue into the uterine myometrium; would present with dysmenorrhea or abnormal uterine bleeding with a uniformly enlarged soft and globular uterus
• Endometrial hyperplasia - abnormal endometrial gland proliferation, abundant tissue but no dysplasia; presents with heavy bleeding during menses, more common in nulligravid due to excess estrogen
• Endometrial metaplasia - metaplasia is transformation of one cell type to another; this can be a benign process or associated with malignancy but would not likely present with abundant tissue on curretage
• Endometriosis - endometrium-like glands/stroma outside of the uterine cavity (in ovary, pelvis, or peritoneum); presents with PAIN and heavy bleeding or dysmenohorrea
• Endometritis - inflammation of the endometrium, associated with retained products of conception or foreign body