{"paper_id":"3fb2a86c-d300-45d5-b62d-ce7a08e6f79c","body_text":"- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nPublished online by Cambridge University Press: 05 June 2014\nBook contents\n- Menstrual Problems for the MRCOG and Beyond\n- Series page\n- Menstrual Problems for the MRCOG and Beyond\n- Copyright page\n- Contents\n- Abbreviations\n- Preface\n- Editors\n- Contributors\n- 1 Introduction\n- 2 Excessive menstrual bleeding\n- 3 Investigation\n- 4 Medical management of excessive menstrual bleeding\n- 5 Surgical management of menstrual problems\n- 6 Uterine fibroids and heavy menstrual bleeding\n- 7 Dysmenorrhoea\n- 8 Endometriosis\n- 9 Chronic pelvic pain\n- 10 Delayed menarche\n- 11 Premature ovarian failure\n- 12 Polycystic ovary syndrome\n- 13 Premenstrual syndrome\n- Index\nEndometriosis may occur as nodules below the peritoneal surface, often associated with extensive fibrosis. The pain of endometriosis is said to vary with the menstrual cycle although it can be present to some extent every day. The triad of dysmenorrhoea (pain with menstruation), dyspareunia (pain on intercourse) and non-menstrual pelvic pain is considered characteristic. A diagnosis of endometriosis is more prevalent in the subfertile population than in the general population, and women with diagnosed endometriosis are more likely to suffer difficulties in conceiving than other women. Endometriomas can be readily treated at laparoscopy. The choice of treatment for any particular woman depends very considerably on her plans with regard to fertility or contraception, and her personal preferences regarding the use of hormones and other drugs. Various forms of energy have been used to ablate or excise peritoneal endometriosis, including electrical or laser cautery.\n- Type\n- Chapter\n- Information\n- Menstrual Problems for the MRCOG and Beyond , pp. 91 - 102Publisher: Cambridge University PressPrint publication year: 2014\nAccessibility compliance for the HTML of this chapter is currently unknown\nand may be updated in the future.\nTo save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.\nNote you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.\nFind out more about the Kindle Personal Document Service.\n- Endometriosis\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.\n- Endometriosis\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014\nTo save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.\n- Endometriosis\n- Book: Menstrual Problems for the MRCOG and Beyond\n- Online publication: 05 June 2014","source_license":"CC0","license_restricted":false}