Diagnosis and Management of Endometriosis
Endometriosis, a condition affecting up to 10% of reproductive-age women, is characterized by endometrial tissue outside the uterus and causes pelvic pain or infertility, requiring individualized management.
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This chapter reviews endometriosis, a chronic benign gynecologic condition affecting up to 10% of reproductive-age women, focusing on clinical features, diagnosis, staging, and treatment options. It describes that diagnosis can be suggested by history and physical examination, but histologic confirmation from surgical biopsy is the gold standard, with intraoperative extent used for staging despite imperfect correlation between stage and symptom severity. Treatments are presented broadly as pain management, hormonal suppression, and/or surgical intervention, with decisions framed as individualized based on symptoms and future fertility plans. This paper is centrally about endometriosis — it is a clinical overview of diagnosis and management.
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