{"paper_id":"8d6307d0-24a0-4cbf-b7a0-769adbe6c8c7","body_text":"Publication: Evaluation and management of endometriosis.\nLoading...\nFiles\nDate\nAuthors\nJournal Title\nJournal ISSN\nVolume Title\nPublisher\nAbstract\nThe initial diagnostic investigations for endometriosis are physical examination and pelvic ultrasound.\nThe pelvic examination should include a speculum examination and vaginal palpation. Mobility, fixation\nand/or tenderness of the uterus and site-specific tenderness in the pelvis should be evaluated.\nTransvaginal ultrasound and pelvic magnetic resonance imaging are recommended to evaluate the\nextent of the endometriosis and to determine whether any urinary tract or bowel procedures might\nalso be required during surgical resection. Quality of life should be assessed by using the\nEndometriosis Health Profile-30, its short version EHP-5 or the generic quality of life questionnaire SF-\n36. Management of endometriosis is recommended when it has a functional impact (pain, infertility)\nor causes organ dysfunction. Many gynecological societies have published different guidelines for the\nevaluation and management of endometriosis. However, the complexity of this disease together with\nthe different available treatments lead to significant discrepancies between the recommendations.\nPostmenopausal endometriosis should be considered when a patient has a history of symptoms\nbefore menopause including dysmenorrhea, dyspareunia, dyschezia, infertility and chronic pelvic pain.\nMalignant transformation of endometriosis is estimated to occur in about 0.7–1.6% of women affected\nby endometriosis. Endometriosis is associated with an increased risk of ovarian cancer, specifically clear\ncell, endometrioid and low-grade serous types.\nDescription\nCitation\nYoldemir T., \"Evaluation and management of endometriosis.\", Climacteric : the journal of the International Menopause Society, ss.1-8, 2023","source_license":"CC0","license_restricted":false}