Criteria that indicate endometriosis is the cause of chronic pelvic pain
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Three criteria—cyclic pain, surgical diagnosis, and treatment-induced relief—are proposed to determine if endometriosis is the cause of chronic pelvic pain.
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Abstract
Chronic pelvic pain and endometriosis remain two of the most perplexing problems in gynecology. In some women with both conditions, endometriosis might not be the cause of their pain. The problem is determining when the pain is caused by endometriosis. On the basis of clinical studies, I suggest three criteria that should be met before attributing chronic pelvic pain to endometriosis. First, the pelvic pain should be cyclic because endometriosis is a hormonally responsive disease. Second, endometriosis should be diagnosed surgically to avoid overdiagnosing this condition. Finally, medical or surgical treatment of endometriosis should result in prolonged pain relief. Application of these evidence-based criteria reminds us that endometriosis often can be asymptomatic, even in some women with chronic pelvic pain. These criteria might help gynecologists determine the women for whom surgical therapy will resolve the pain; however, only prospective evaluation can determine their ultimate usefulness.
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References (14)
- Correlation between endometriosis-associated dysmenorrhea and the presence of typical or atypical lesions via openalex
- Effect of leuprolide acetate in patients with functional bowel disease via openalex
- Endometriosis and nonobstructive müllerian anomalies. via openalex
- Laparoscopy in 100 women with chronic pelvic pain. via openalex
- Long-term follow-up on the treatment of endometriosis with the GnRH-agonist buserelinacetate Long-term follow-up data (up to 98 months) of 42 patients with endometriosis who were treated with GnRH-agonist buserelinacetate (Suprecur®), were evaluated in respect of recurrence of pain symptoms and pregnancy outcome via openalex
- Reliability of the visual diagnosis of ovarian endometriosis via openalex
- Stenosis of the external cervical os: an association with endometriosis in women with chronic pelvic pain via openalex
- The association of sexual abuse with pelvic pain complaints in a primary care population via openalex
- The relationship between laparoscopic disease, pelvic pain and infertility; an unbiased assessment via openalex
- The resolution of chronic pelvic pain after normal laparoscopy findings via openalex
- The role of laparoscopy in the evaluation of chronic pelvic pain: Pitfalls with a negative laparoscopy via openalex
- Visible and non-visible endometriosis at laparoscopy in fertile and infertile women and in patients with chronic pelvic pain: a prospective study via openalex
- W2099502049 via openalex
- W2405504796 via openalex
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- Physiotherapy Management in Endometriosis 2022
- The Role of Visceral Therapy in the Sexual Health of Women with Endometriosis during the COVID-19 Pandemic: A Literature Review 2022
- Clinical Diagnosis and Early Medical Management for Endometriosis: Consensus from Asian Expert Group 2022
- Genomics of Endometriosis: From Genome Wide Association Studies to Exome Sequencing 2021
- The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability 2021
- Association of endometriosis with interstitial cystitis in chronic pelvic pain syndrome: Short narrative on prevalence, diagnostic limitations, and clinical implications 2021
- Measuring Resilience in Women with Endometriosis 2021
- New Diagnosis of Endometriosis is Less Common in Women over Age Forty Presenting with Pelvic Pain 2020
- Rethinking mechanisms, diagnosis and management of endometriosis 2019
- Comparison of the symptoms and localisation of endometriosis involvement according to fertility status of endometriosis patients 2018
- The efficacy of laparoscopic presacral neurectomy in dysmenorrhea: is it related to the amount of excised neural tissue? 2017
- Management of Chronic Pelvic Pain 2017
- Impact of endometriosis on quality of life and mental health: pelvic pain makes the difference 2015
- Impacts de la chirurgie sur la sexualité des patientes souffrant d'endométriose pelvienne profonde sévère 2015
- Development of peritoneal endometriosis: Characterisation of immune environment in peritoneal endometriotic lesions 2015
- Aspectos clínicos de la endometriosis 2015
- Exploration d’une douleur pelvienne : approche collégiale « gynécologue-gastroentérologue » appliquée aux formes chroniques 2014
- Nonneoplastic Disorders of the Ovary 2014
- Comparison of Laparoscopic Radiofrequency Myolysis (LRFM) and Ultrasonographic Radiofrequency Myolysis (URFM) in Treatment of Midline Dysmenorrhea 2014
- Endometriosis-associated pain syndrome: a nurse-led approach 2013
- Chronic Pelvic Pain in Endometriosis: An Overview 2013
- Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity 2012
- Chronic Pain Syndromes in Gynaecological Practice: Endometriosis and Fibromyalgia 2012
- Does laparoscopic management of deep infiltrating endometriosis improve quality of life? A prospective study 2011
- Diagnosis 2011
- Psychosomatic Aspects 2011
- Evaluation of the impact of endometriotic lesions on patient's pelvic pain symptoms 2010
- Pelvic Pain Associated with a Gynecologic Etiology 2010
- Effect of palmitoylethanolamide–polydatin combination on chronic pelvic pain associated with endometriosis: Preliminary observations 2010
- Does Response to Hormonal Therapy Predict Presence or Absence of Endometriosis? 2008
- Urinary Complications After Surgery for Posterior Deep Infiltrating Endometriosis are Related to the Extent of Dissection and to Uterosacral Ligaments Resection 2008
- Gynecological Pain, Endometriosis, Visceral Disease, and the Viscero-Somatic Connection 2008
- Differences in characteristics among 1,000 women with endometriosis based on extent of disease 2007
- Psychological aspects of endometriosis: Differences between patients with or without pain on four psychological variables 2007
- Comparison of a new modified laparoscopic presacral neurectomy and conventional laparoscopic presacral neurectomy in the treatment of midline dysmenorrhea 2007
- The relationship between interstitial cystitis and endometriosis in patients with chronic pelvic pain. 2007
- Prise en charge de l'endométriose: évaluation clinique et biologique 2007
- Síntomas dolorosos de la endometriosis 2006
- Presacral neurectomy for surgical management of pelvic pain associated with endometriosis: A descriptive review 2006
- Benign Gynecological Diseases and SERMs 2006
- Symptômes douloureux de l'endométriose 2006
- Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications 2005
- Symptômes douloureux de l'endométriose 2005
- Nerve fibers in ovarian dermoid cysts and endometriomas 2004
- Surgical Management of Deeply Infiltrating Endometriosis: An Update 2004
- Operative Therapie 2004
- Chronic Pelvic Pain in Men and Women: Pathogenesis, Diagnosis, and Treatment 2004
- Symptomatologie avant et après chirurgie d’endométriose colorectale évaluée par l’imagerie par resonance magnétique et l’échoendoscopie endorectale 2004
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