La Revue du praticien

SEVERE DYSMENORRHEA AND ENDOMETRIOSIS. Severe dysmenorrhoea, or grade 3 dysmenorrhoea according to the Andersch and Millson classification, is present in the vast majority of patients suffering from endometriosis from the first menstrual pe…

ENDOMETRIOSIS, PHYSICAL ACTIVITY AND SPORT. Endometriosis is a chronic, inflammatory gynecological disorder that impacts the quality of life of 10% of women of reproductive age with chronic recurrent pain and/or infertility. Management is a…

UPDATE ON BOWEL ENDOMETRIOSIS Endometriosis is a relatively common female disease with increasing incidence, probably because of better diagnostic tools and a better understanding of the pathology. We will focus our subject on bowel endomet…

The surgical treatment of endometriosis, which used to be performed by laparotomy, is now in most cases performed by coelioscopy. The purpose of surgery is to destroy or remove as much as possible of the endometriotic lesions and to treat t…

Chronic pelvic pain in a woman with at least one history of caesarean should lead to the diagnosis of parietal endometrioma on a caesarean section scar, even years after. The most suggestive clinical picture is chronic cyclical pelvic pain …

Endometriosis is a benign disorder affecting 10 to 15% of women of reproductive age. It is defined by the presence of endometrium-like tissue outside the uterus. There are three different entities of endometriosis: superficial endometriosis…

The intrauterine insemination with husband's sperm is an assisted reproductive technologie, as proposed in the case of cervical infertility, moderate male infertility, dysovulation, mild or moderate endometriosis or unexplained infertility.…

Menometrorrhagia is a frequent cause of medical consulting. After exclusion of pregnancy, main aetiologies are the uterine (polyp, myoma, adenomyosis, cancer) or adnexial abnormality (ovarian cyst or cancer), the disorders of hemostasis (Wi…

EPIDEMIOLOGY OF CHRONIC PELVIC PAIN. The prevalence of chronic pelvic pain (CPP) varies widely in literature due to varying definitions of cases and to the diversity of populations studied. Estimates range from 2.1% to 30.9% among women in …

Endometriosis is an estrogen-dependant disease that affects 10 to 15% of women of reproductive age. Its aetiology and molecular mechanisms involved have not yet been fully explored. Endometriosis is defined by the presence of endometrium-li…

Choosing a contraceptive method is difficult in women with a disease or presenting specific risk factors. The possible life-threatening effects of the contraceptive on the disease and the possible drug interactions should be taken into cons…

Intrauterine insemination has been proposed for a long time and its place took benefits from the knowledge in IVF: sperm preparation and ovarian stimulation. Initially the first line therapy for male factor, cervical factor and unexplained …

Adenomyosis keeps a strange and unknown feature. Indeed, therefore of an unclear physiopathology, the difficult diagnosis due to the lack of specificity of symptoms and the absence of effective conservative treatment, adenomyosis is still t…

Natural history of endometriosis is unpredictable. Some recent data show that endometriosis is a progressive disease. Minimal lesions are transient and peritoneal implants are reorganized continuously. So, minimal endometriosis could be con…

The presence of ectopic endometrial tissue defines endometriosis. External endometriosis, the real one, can be observed everywhere in the woman body and in genitourinary tract in man. Macroscopic and histologic features depend on their dura…

The relation between endometriosis and sterility is still unclear, especially in minimal and mild forms. When the decision to treat endometriosis is made, the question about how to treat raises. An hormonal treatment of minimal or mild endo…

Medical treatment of endometriosis has been applied since 40 years. Its rational is based upon the hormone-dependency of the endometriotic lesions inducing a resting status. Adhesions, endometriomas or fibrous sequellae do not respond to me…

Investigations are performed in women with external endometriosis to confirm the diagnosis and to evaluate extension of the disease before treatment. Elevated serum CA 125 level is correlated with the severity of the disease. CA 125 may be …

Endometriosis is characterised by the presence in abnormal situation of a tissue resembling the endometrium with glands and stroma. Several assumptions try to explain the development of this tissue. The oldest, the theory of the metaplasia,…

Due to the follow-up it requires, contraception leads to early detection of benign and malign uterine lesions. Contraception must not only be effective, but at the same time: treat the detected lesion (endometriosis); aid conservative surge…

Benign ovarian cysts can be diagnosed and treated by surgical laparoscopy which, like laparotomy, permits a histological examination. Ovarian cysts that are, or are suspected of being malignant must be removed by laparotomy after evaluation…

Laparoscopic treatment of endometriosis is essential, elegant, efficacious. It is a more complex laparoscopic surgical procedure because of the adnexial lesions, now performed thank's to recent improved instrumentation. At the time of diagn…