Correct answer to Tuesdays #USMLE-style question is C! See explanation below. Any questions? Ask and well answer! C) Subendometrial fibroids may interfere with fertility, as the endometrium covering a subendometrial fibroid has decreased blood flow and cannot support a pregnancy. They can be removed via a hysteroscopic approach. Explanation of incorrect answers: A) Fibroids are hormone-responsive and are likely to increase in size during a pregnancy. B) Subendometrial fibroids are associated with fertility problems. Subserosal problems are more likely to cause symptoms due to compression of surrounding structures, such as the ureter. D) Pregnancy is no more dangerous for this patient than for the average patient. E) Since this patient wishes to become pregnant, oral medroxyprogesterone (the mini-pill) is not an appropriate treatment. firecracker.me
Posted on: Wed, 06 Aug 2014 14:37:52 +0000