Postgraduate medicine

Objective Although there have been variations in the management of the patients with endometriosis, an important population of these women still require hospitalization . This study aimed to analyze the trends in hospital admissions associa…

OBJECTIVES: Diagnostic delay is common in endometriosis. There is an unmet need for a symptom-based, patient-completed screening tool to facilitate discussions between patients and physicians about potential endometriosis symptoms. The obje…

INTRODUCTION: Endometriosis is the most common pelvic gynaecologic disorder affecting pre-menopausal women. However ureteral endometriosis (UE) especially intrinsic urinary tract endometriosis is a rare finding that is notorious for causing…

BACKGROUND: The exact pathogenesis of endometriosis has not been completely discerned. 1-alpha,25-dihydroxyvitamin D3 (1,25[OH][2]D[3]) has been shown to have an anti-angiogenic effect and extracellular matrix-proteases-degrading properties…

Endometriosis is a common condition affecting a significant number of women of childbearing age. The diagnosis is clinical and thus can be difficult to make. History taking is generally most helpful, and diagnostic tests have a limited role…

Controversy continues to swirl around hysterectomy-particularly about when and why it is appropriate for benign disorders. In the United States, one woman in three undergoes hysterectomy by age 65. The rate in the European Union nations ran…

Preview Gonadotropin-releasing hormone (GnRH) agonists will have a significant impact on the practice of medicine in the 1990s. These agents will likely be given to increasing numbers of patients, and primary care physicians themselves may …

Use of gonadotropin-releasing hormone (GnRH) agonists produces a transient increase and subsequent long-term reduction in concentrations of pituitary hormones, resulting in gonadal hormone suppression. This reversible suppression is useful …

Endometriosis results in significant pelvic pain, dysmenorrhea, and infertility. Recognition of the signs and symptoms of endometriosis can result in early diagnosis and treatment. Management includes surgical intervention to debulk large l…

Despite an occasional temporal relationship between abdominal pain and menstruation, the clinical features of endometriosis are often nonspecific. Diagnostic tests are usually unrewarding, and diagnosis is most often made at surgery. Endome…

The in vitro fertilization (IVF) program at Scripps Clinic and Research Foundation, La Jolla, California, was started in 1983. In vitro fertilization is now an accepted type of infertility treatment for many couples with a disorder of tubal…

Although dysmenorrhea is a common gynecologic complaint, adolescents and young women frequently believe that no therapy is available and do not seek medical help. Diagnostic and therapeutic advances now allow the physician to effectively ev…

Dysfunctional uterine bleeding is not a specific diagnosis. It encompasses a spectrum of endocrinologic dysfunction which must be considered in reference to the presence or absence of ovulation. Specific causes must not be forgotten, partic…

In the evaluation of male and female infertility the history, family history, physical examination, and endocrine and gonadal functional evaluations are the most informative measures. The cause of the infertility is never found in some 17.5…

Although oral contraceptives provide the primary therapy for endometriosis, surgery is sometimes indicated. Surgical treatment should be conservative, with salvage of as much tissue as possible. Ovarian and presacral neurectomy, in addition…

Endocrine therapy has produced dramatic results in some situations in obstetrics and gynecology and is beneficial in amenorrhea of unknown origin, in some menopausal patients, and in some cases of endometriosis. It also seems to retard prog…

Endometriosis is still an etiologic mystery. Benign metastasis from the uterine cavity by way of the lymphatics or tubal reflux is probably the mechanism of development. Treatment in the younger patient focuses on relieving pain and improvi…

External endometriosis is best explained on the basis of retrograde tubal transportation of shed fragments of endometrium with implantation and growth on the ovaries and other pelvic structures and subsequent dissemination, frequently resul…

Progestational agents are being used with increasing frequency in disorders such as endometriosis, severe dysmenorrhea, disseminated endometrial carcinoma, mastodynia, etc. It is important to know their structure, laboratory evaluation and …

It has been proved beyond question that viable endometrium capable of implantation and growth is shed at menstruation. It is suggested that there is a host predisposition involved in acceptance of these endometrial implants. Primary cervica…

Pelvic endometriosis is common among Caucasian women and usually can be recognized by the characteristic history and pelvic findings. The lesions become inactive and actually atrophic during pregnancy and after several months of hormone-ind…