Endometriosis

In: Clinical Perspectives in Obstetrics and Gynecology · 1989 · pp. 236–250 · doi:10.1007/978-1-4684-0330-5_17 · W4247099824
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Endometriosis is a common gynecologic condition characterized by the presence of uterine stromal elements in aberrant sites, often presenting with painful pelvic discomfort related to menstruation and contributing to infertility.

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This chapter reviews endometriosis as a common gynecologic condition characterized by stromal elements growing in aberrant locations, typically involving symptoms such as progressively painful pelvic discomfort linked to menstruation (dysmenorrhea, dyspareunia, dyschezia, cyclic hematuria) and associations with infertility. It summarizes the clinical presentation and notes that the incidence is difficult to determine, while endometriosis may account for up to 66% of female infertility, and it can occur in adolescents as well as reproductive-age women. A key limitation is that the chapter provides mainly descriptive clinical overview rather than presenting new experimental data or a specific study methodology, and it highlights uncertainty around incidence estimates. This paper is centrally about endometriosis — it provides a broad clinical overview of pathology, symptoms, and its relationship to infertility across ages.

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Abstract

Endometriosis is a common cause of morbidity in the gynecologic patient, though rarely is it life-threatening. Endometriosis is well known as the presence and growth of stromal elements in aberrant sites. This tissue is usually identical to that found in the lining of the uterus. Clinically, the patient with endometriosis often presents with progressively painful pelvic discomfort i+n association with menstruation. Dysmenorrhea, dyspareunia, dyschezia, premenstrual staining, suprapubic pain with dysuria, and cyclic hematuria, as well as infertility, are frequent symptoms. The exact incidence of endometriosis is difficult to ascertain. However, it may account for up to 66% of female infertility.1,2 Although primarily a disease in women of reproductive age, adolescent patients are not spared from this affliction. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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(eds) Operative Gynecologic Endoscopy. Clinical Perspectives in Obstetrics and Gynecology. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0330-5_17 Download citation DOI: https://doi.org/10.1007/978-1-4684-0330-5_17 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4684-0332-9 Online ISBN: 978-1-4684-0330-5 eBook Packages: Springer Book Archive

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