La Revue du praticien

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…

Genital endometriosis is divided into: (1) uterine endometriosis (adenomyosis) and (2) external endometriosis which may be intraperitoneal (ovaries, Fallopian tubes, peritoneum) or extraperitoneal (cervix, vagina, rectovaginal septum, vulva…

Relations between endometriosis and infertility are complex and difficult to establish. Numerous theories have been suggested, but none of them has proved conclusive. As always in case of endometriosis, medical and surgical treatments are o…

Since the initial description of endometriosis, several histogenetic theories have been put forward. Endometriosis has been attributed either to coelomic metaplasia, or to embryonic remnants or to the dissemination by various routes and sub…

Initially developed to treat tubal infertility, in vitro fertilization (IVF) has acquired wider indications when the pregnancy rates have improved. IVF is now offered to couples as the ultimate solution in case of tubal infertility (with Fa…

The causal treatment of endometriosis is based on the fact that the disease is hormone-dependent. As it has been well established that endometriotic lesions heal at the end of pregnancy or after menopause, the principle of medical treatment…

Endometrious may be located in many parts of the body which are not limited to the pelvic region. While the classical theory of menstrual reflux easily accounts for the genital locations, other theories, notably metaplasia, have been propou…

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…