Endometriosis arising during estrogen and testosterone treatment 17 years after abdominal hysterectomy: a case report
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This case report describes endometriosis occurring in the abdominal wall 17 years after hysterectomy in a patient undergoing estrogen and testosterone treatment.
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Abstract
ObjectiveTo report the possible association between the use of oestrogen replacement therapy and endometriosis in a postmenopausal woman.MethodsWe present a case of a postmenopausal, previously hysterectomised, woman who received hormonal replacement therapy and developed a large broad ligament cyst. Two years prior to her presentation she had been complaining of pelvic pain and deep dyspareunia.ResultsPelvic ultrasound showed an adnexal cyst that was increasing in size. CA-125 was normal. Laparoscopy revealed multiple endometriotic deposits and a broad ligament cyst. Cystectomy and oophorectomy were done. Histology confirmed a diagnosis of endometriosis including the broad ligament cyst.ConclusionsHormonal replacement therapy can be associated with de novo endometriosis including at sites, which are unusual.
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Cited by (26)
- Endometriosis 2025
- Endometriosis and menopausal health: An EMAS clinical guide 2025
- Clinical Management of Endometriosis in Menopause: A Narrative Review 2024
- Adenomiosis: diagnóstico 2023
- Postmenopausal endometriosis, where are we now? 2019
- Endométriose 2019
- Surgical challenges in the treatment of perimenopausal and postmenopausal endometriosis 2018
- Postoperative Levonorgestrel-Releasing Intrauterine System Insertion After Gonadotropin-Releasing Hormone Agonist Treatment for Preventing Endometriotic Cyst Recurrence: A Prospective Observational Study 2017
- Gastric wall endometriosis in a postmenopausal woman 2016
- Endometriosis after Menopause 2015
- The unexpected conundrum of endometrioid carcinoma in deep rectal endometriosis arising 11 years after total hysterectomy bilateral salpingo-oophorectomy 2015
- Prevention of the recurrence of symptom and lesions after conservative surgery for endometriosis 2015
- Diagnóstico de la adenomiosis 2014
- Recurrence of endometriosis after hysterectomy. 2014
- Potential role of aromatase inhibitors in the treatment of endometriosis 2014
- Endometriosis: a life cycle approach? 2013
- History of endometriosis may adversely affect the outcome in menopausal recipients of sibling oocytes 2012
- Aromatase inhibitors for the treatment of endometriosis 2012
- Aromatase inhibitors in post-menopausal endometriosis 2011
- Endometriosis in postmenopausal women without previous hormonal therapy: report of three cases 2008
- Postmenopausal intestinal obstructive endometriosis: case report and review of the literature 2008
- The link between environmental toxicant exposure and endometriosis 2007
- De novo postmenopausal endometriosis during tibolone treatment: a case report and review of the literature 2007
- Endometriosis: harmful survival of an ectopic tissue 2006
- Postmenopausal endometriosis and malignant transformation of endometriosis: a case series 2005
- Successful treatment of an aggressive recurrent post-menopausal endometriosis with an aromatase inhibitor 2005
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