Prise en charge de l'endométriose: évaluation clinique et biologique
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This paper describes the clinical and biological assessment of endometriosis management.
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Abstract
No symptom is pathognomonic for endometriosis. Main symptoms are pain (chronic pelvic pain, dysmenorrhea, deep dyspareunia, pain on defecation, cyclic pain) and infertility (grade C). There is no relation between rAFS endometriosis classification and symptoms intensity and frequency (grade B). Endometriosic lesions location and symptoms type are related to each other as well as symptoms intensity and lesions deepness or adhesion numbers (grade B). Clinical evidence is the same for infertile endometriosic women (grade C). Screening for depression is required among patients suffering from chronic endometriosic pelvic pain (grade C). Clinical examination includes: 1) retrocervix area inspection as well as upper part of posterior vaginal wall in search for typical bluish lesions (grade B); 2) vaginal examination in search for: a) uterosacral ligaments nodules (grade B); b) pain in uterosacral ligaments extension (grade B); 3) re-examination during menstruation increases its performance (grade B). No biological check-up in endometriosis diagnosis is necessary (grade A). CA 125 increase is related to: endometriomas and deep lesions volume (grade B), surgically treated infertile women prognosis (grade B). Presurgical endometriosis diagnosis is bettered by using diagnosis pattern in selected population (grade B). Rating scales are recommended in diagnosis and therapeutic follow up (grade B). Quality of life scales are useful to evaluate therapeutic efficiency (grade B).
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Cited by (18)
- La féminité à l’épreuve de l’endométriose 2024
- Endométriose et qualité de vie : le rôle du soutien social et des stratégies de coping 2023
- Endometriosis Pathology Outline 2021
- Deep infiltrating endometriosis: Interest of the robotic approach for a fledgling team 2019
- Endometriosis genital y extragenital 2018
- Signes spécifiques cliniques évocateurs de l’endométriose (hors adénomyose) et questionnaires de symptômes, de douleur et qualité de vie, RPC Endométriose CNGOF-HAS 2018
- Endometriosi genitale ed extragenitale 2018
- Aspectos clínicos de la endometriosis 2015
- THE ROLE OF NEOPTERIN AS A POSSIBLE DIAGNOSTIC MARKER PREVALENCE EXTERNAL GENITAL ENDOMETRIOSIS 2015
- Robot-assisted laparoscopy for deep infiltrating endometriosis: international multicentric retrospective study 2014
- Correlação entre os níveis de Ca-125 séricos e os achados cirúrgicos em mulheres com sintomas sugestivos de endometriose 2013
- Pelvic Endometriosis - A Survey of Knowledge and Practice Among Gynecologists Endometriose Pélvica - Enquete com Médicos Ginecologistas 2012
- Chirurgie des endométriomes ovariens : de la physiopathologie à la prise en charge pratique pré-, per- et postopératoire 2011
- Avaliação do CA-125 e do CD-23 solúvel em pacientes com endometriose pélvica 2010
- Traitement chirurgical de l'endométriose des ligaments utérosacrés et du cul-de-sac postérieur 2009
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