Endometriosis

In: Atlas of Imaging in Infertility · 2017 · pp. 41–69 · doi:10.1007/978-3-319-13893-0_5 · W4247022991
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Endometriosis is a chronic disease characterized by endometrial-like tissue outside the uterus, affecting 10% of reproductive-aged women and causing symptoms like pain, infertility, and sometimes urinary or gastrointestinal issues.

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This paper is a chapter defining endometriosis and describing its clinical presentation, prevalence, and associated urinary and gastrointestinal symptoms, with prevalence estimates around 10% in women of reproductive age and 50% among women with infertility. It presents endometriosis as chronic disease characterized by ectopic tissue with histological and functional features similar to endometrium, occurring outside the uterine cavity, and lists common symptoms including dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. The chapter primarily provides background rather than new primary data, and it does not state specific methodological limitations beyond being an overview that relies on cited literature. This paper is centrally about endometriosis — it provides a general description of the disease definition, symptom spectrum, and prevalence.

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Abstract

Endometriosis is a chronic disease defined as the presence of tissue with histological and functional features similar to the topic endometrium, outside the uterine cavity [1]. The patient may be asymptomatic or present some symptoms, among which the most common are dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility. Urinary symptoms (hematuria, dysuria) and/or gastrointestinal symptoms (hematochezia, dyschezia) may also be associated, particularly when related to the menstrual cycle [2]. The estimated prevalence is about 10% among women of reproductive age and 50% among those within infertility [3]. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Dogan MM, Ugur M, Soysal SK, Soysal ME, Ekici E, Gokmen O. Transvaginal sonographic diagnosis of ovarian endometrioma. Int J Gynaecol Obstet. 1996;52:145–9. Jain K. Endometrioma with calcification simulating a dermoid on sonography. J Ultrasound Med. 2006;25:1237–41. Asch E, Levine D. Variations in appearance of endometriomas. J Ultrasound Med. 2007;26:993–1002. Cornillie FJ, Oosterlynck D, Lauweryns JM, Koninckx PR. Deeply infiltrating pelvic endometriosis: histology and clinical significance. Fertil Steril. 1990;53:978–83. Chapron C, Fauconnier A, Vieira M, Barakat H, Dousset B, Pansini V, Vacher-Lavenu MC, Dubuisson JB. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod. 2003;18:157–61. Ghezzi F, Raio L, Cromi A, Duwe D, Beretta P, Butarelli M, Mueller MD. “Kissing ovaries”: a sonographic sign of moderate to severe endometriosis. Fertil Steril. 2005;83(1):143–7. Hudelist G, English J, Thomas AE, Tinelli A, Singer CF, Keckstein J. Diagnostic accuracy of transvaginal ultrasound for non-inasive diagnosis of bowel endometriosis: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2011;37:257–26. Piketty M, Chopin N, Dousset B, Millischer-Bellaische AE, Roseau G, Leconte M, Borghese B, Chapron C. Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination. Hum Reprod. 2009;24:602–7. Bazot M, Malzy P, Cortez A, Roseau G, Amouyal P, Darai E. Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis. Ultrasound Obstet Gynecol. 2007;30:994–1001. Bazot M, Thomassin I, Hourani R, Cortez A, Darai E. Diagnostic accuracy of transvaginal sonography for deep pelvic endometriosis. Ultrasound Obstet Gynecol. 2004;24:180–5. Guerriero S, Ajossa S, Gerada M, D’Aquila M, Piras B, Melis GB. “Tenderness-guided” transvaginal ultrasonography: a new method for the detection of deep endometriosis in patients with chronic pelvic pain. Fertil Steril. 2007;88:1293–7. De Cicco C, Corona R, Schonman R, Mailova K, Ussia A, Koninckx P. Bowel resection for deep endometriosis: a systematic review. BJOG. 2011;118:285–91. Chapron C, Bourret A, Chopin N, Dousset B, Leconte M, Amsellem-Ouazana D, de Ziegler D, Borghese B. Surgery for bladder endometriosis: long-term results and concomitant management of associated posterior deep lesions. Hum Reprod. 2010;25:884–9. Chapron C, Chopin N, Borghese B, Foulot H, Dousset B, Vacher-Lavenu MC, Vieira M, Hasan W, Bricou A. Deeply infiltrating endometriosis: pathogenetic implications of the anatomical distribution. Hum Reprod. 2006;21:1839–45. Goncalves MO, Podgaec S, Dias Jr JA, Gonzalez M, Abrao MS. Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy. Hum Reprod. 2010;25:665–71. Fedele L, Bianchi S, Raffaelli R, Portuese A. Pre-operative assessment of bladder endometriosis. Hum Reprod. 1997;12:2519–22. Brandao A. Atlas de ressonancia em endometrioses profunda:correlacao com laparoscopia. 1st ed. Rio de Janeiro: Revinter; 2014. Whitman GJ, Mc Govern FJ. Endometriosis of the bladder detected by pelvic ultrasonography. J Ultrasound Med. 1994;13:115–7. Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2017 Springer International Publishing Switzerland About this chapter Cite this chapter De Nicola, A.L.A., de Souza, L.R.M.F. (2017). Endometriosis. In: de Souza, L., De Nicola, A., De Nicola, H. (eds) Atlas of Imaging in Infertility. Springer, Cham. https://doi.org/10.1007/978-3-319-13893-0_5 Download citation DOI: https://doi.org/10.1007/978-3-319-13893-0_5 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-319-13892-3 Online ISBN: 978-3-319-13893-0 eBook Packages: MedicineMedicine (R0)

Keywords

- Uterosacral Ligament - Hypogastric Nerve - Rectovaginal Septum - Deep Endometriosis Infiltrate - Hypoechoic Nodule These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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endometriosis

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References (27)

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