Structural Gynecological Disease

Fibroids, endometriosis , and ovarian cysts are common conditions. Fibroids can be asymptomatic or present with heavy menstrual bleeding , pelvic pressure, and pain. Endometriosis is a common cause of cyclical pelvic pain . Ovarian cysts are generally diagnosed incidentally. Transvaginal ultrasound is the performed imaging modality for all structural gynecological disease . Symptomatic management is recommended for each condition. Fibroids can be managed medically or surgically depending on the patient’s symptoms and desire for future fertility. Nonsteroidal anti-inflammatory drugs are the first-line therapy for endometriosis followed by oral contraceptives and surgical management. Ovarian cysts can be managed expectantly.