[Specific clinical signs suggestive of endometriosis (excluding adenomyosis) and questionnaires of symptoms, pain and quality of life: CNGOF-HAS Endometriosis Guidelines]

Huchon C, C Huchon, Cyrille Huchon, Gabrielle Aubry, Aubry G, G Aubry, Stéphane Ploteau, Ploteau S, S Ploteau, A Fauconnier, Fauconnier A, Arnaud Fauconnier
Gynecologie, obstetrique, fertilite & senologie · 2018 · vol. 46(3) , pp. 168–176 · doi:10.1016/j.gofs.2018.02.022 · PMID:29530559 · W2792279053
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This paper reviewed clinical signs suggestive of endometriosis (excluding adenomyosis) and validated symptom, pain, and quality-of-life questionnaires for use in endometriosis management.

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Abstract

In case of consultation for chronic pelvic pain or suspicion of endometriosis, it is recommended to evaluate the pain (intensity, resonance) and to search out the evocative and localizing symptoms of endometriosis (Grade B). The main symptoms suggestive of endometriosis are: severe dysmenorrhea (NP2), deep dyspareunia (NP2), painful defecation during menstruation (NP2), urinary tract symptoms during menstruation (NP2) and infertility (NP2). In patients with chronic pelvic pain, it is recommended to search deep infiltrating endometriosis in patients with painful defecation during menstruation or severe deep dyspareunia (Grade B). It is recommended to search symptoms suggestive of sensitization in painful patients with endometriosis (Grade B). When suggestive symptoms of endometriosis are present, a directed gynecological examination is recommended, where possible, including examination of the posterior vaginal cul-de-sac (Grade C). In assessing pain intensity or evaluating analgesic effectiveness of a treatment, it is recommended to use a scale to measure the intensity of pain (Grade A). In the management of symptomatic endometriosis, it is recommended to evaluate the quality of life (Grade C).

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Condition tags

dyspareuniaendometriosischronic_pelvic_pain

MeSH descriptors

Dyspareunia Endometriosis Pelvic Pain Quality of Life Quality of Life Surveys and Questionnaires Surveys and Questionnaires Dyspareunia Dyspareunia Endometriosis Endometriosis Female Female Gynecological Examination Gynecological Examination Humans Humans Pelvic Pain Pelvic Pain Risk Factors

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 (100)

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