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Vaginal Adenosis Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Pathophysiology
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Additional Treatment
  • Surgery
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
  • Diet
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS

Description
  • The normal vagina is lined by squamous epithelium. Adenosis is characterized by the presence of columnar epithelium or glandular tissue in the wall of the vagina.
  • At about the 15th week of embryologic development, the Müllerian system, which forms the upper 2/3 of the vagina, fuses with the invaginating cloaca or urogenital sinus to form the lower 1/3 of the vagina. Squamous metaplasia from the cloacal region then produces a squamous epithelium through the vagina.
  • Adenosis occurs when this squamous epithelium fails to epithelialize the vagina completely.
  • 3 main types of adenosis epithelium described:
    • Endocervical
    • Endometrial
    • Tubal
  • System(s) affected: Reproductive
ALERT: Geriatric Considerations
  • Adenosis is a disorder of the young female. By menopause, the vagina ...

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