Fairly easy

Which finding is most suggestive of uterine fibroids rather than endometriosis?

Correct answer: B. Heavy or prolonged menstrual bleeding

  • A. Cyclic pelvic pain and painful intercourse
  • B. Heavy or prolonged menstrual bleeding
  • C. Painful defecation during menstruation
  • D. Chronic pelvic pain with infertility

Explanation

Fibroids commonly cause heavy or prolonged menstrual bleeding because they affect the uterine muscle and endometrial surface. Cyclic pelvic pain, painful intercourse, painful defecation and infertility are more strongly associated with endometriosis, although symptoms may overlap.

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About Gynaecological Nursing

Gynaecological nursing covers assessment and care for menstrual disorders, vaginal infections, pelvic inflammatory disease, infertility, endometriosis, fibroids, uterine prolapse and reproductive tract cancers. It includes pelvic examination, specimen collection, preoperative and postoperative care, medication support, privacy and counselling, and distinguishes gynaecological conditions from normal pregnancy-related changes.

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