A Practical Guide to the Clinical Evaluation of Endometriosis-Associated Pelvic Pain

Smitha Vilasagar, S Vilasagar, Bougie O, Olga Bougie, Singh SS, Sukhbir Sony Singh, Sukhbir S. Singh
Journal of Minimally Invasive Gynecology · 2019 · vol. 27(2) , pp. 270–279 · doi:10.1016/j.jmig.2019.10.012 · PMID:31669551 · W2982026880
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This paper offers a practical guide for the clinical evaluation of pelvic pain associated with endometriosis.

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Abstract

Endometriosis-associated pain (EAP) has a significant impact on the quality of life of those affected and their families. Recognizing that endometriosis is a chronic condition associated with an impairment in function and negative social impact, there is a shift toward reducing diagnostic delays and initiating timely management. This article provides a comprehensive and practical approach to the clinical diagnosis of EAP, which can subsequently facilitate prompt and directed treatment. The key components of the history, physical examination, and high-quality imaging to evaluate suspected EAP and related pain conditions are presented. Currently, biomarkers have limited utility in the diagnosis of endometriosis, but research in this area continues; development of a reliable noninvasive test for endometriosis may further improve early identification of this condition.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Diagnostic Techniques, Obstetrical and Gynecological Endometriosis Endometriosis Pelvic Pain Pelvic Pain Practice Guidelines as Topic Practice Guidelines as Topic Chronic Disease Chronic Disease Diagnosis, Differential Diagnosis, Differential Diagnostic Techniques, Obstetrical and Gynecological Diagnostic Techniques, Obstetrical and Gynecological Endometriosis Endometriosis Female Female Humans Humans Pelvic Pain

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (74)

Cited by (19)

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License: CC0 · commercial use OK