Office management of endometriosis

In: Office Care of Women · 2016 · pp. 274–284 · doi:10.1017/cbo9781316084380.026 · W2483504522
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This paper reviews the office management of endometriosis, covering diagnosis, treatment options, and follow-up care for patients.

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This chapter provides a clinical overview of the office-based management of endometriosis, drawing upon established guidelines and systematic reviews to address diagnosis and treatment. It discusses various diagnostic modalities, including ultrasound and MRI, alongside therapeutic options ranging from nonsteroidal anti-inflammatory drugs to gonadotropin-releasing hormone analogues and surgical interventions. The text emphasizes the importance of symptom-based predictive models and highlights the complex relationship between endometriosis-associated infertility and assisted reproductive technologies. This paper is centrally about endometriosis — specifically focusing on the diagnostic and therapeutic strategies applicable in an outpatient gynecologic setting.

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Abstract

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- Office Care of Women - Office Care of Women - Copyright page - Dedication - Contents - Contributors - Preface - Section I Health promotion - Section II Office interventions - Section III Pregnancy - Section IV Gynecology - Chapter 14 Office care of the pediatric-adolescent gynecologic patient - Chapter 15 Amenorrhea - Chapter 16 Abnormal uterine bleeding - Chapter 17 Office care of sexually transmitted infections - Chapter 18 Office management of pelvic pain and dyspareunia - Chapter 19 Office management of pelvic masses - Chapter 20 Office management of incontinence - Chapter 21 Office management of pelvic relaxation - Chapter 22 Vulvovaginal disease - Chapter 23 Office care of patients with leiomyomata of the uterus - Chapter 24 Sexual dysfunction - Chapter 25 Office management of endometriosis - Section V Reproductive endocrinology and infertility - Section VI Nongynecologic conditions - Index - References from Section IV - Gynecology Published online by Cambridge University Press: 05 May 2016 Book contents - Office Care of Women - Office Care of Women - Copyright page - Dedication - Contents - Contributors - Preface - Section I Health promotion - Section II Office interventions - Section III Pregnancy - Section IV Gynecology - Chapter 14 Office care of the pediatric-adolescent gynecologic patient - Chapter 15 Amenorrhea - Chapter 16 Abnormal uterine bleeding - Chapter 17 Office care of sexually transmitted infections - Chapter 18 Office management of pelvic pain and dyspareunia - Chapter 19 Office management of pelvic masses - Chapter 20 Office management of incontinence - Chapter 21 Office management of pelvic relaxation - Chapter 22 Vulvovaginal disease - Chapter 23 Office care of patients with leiomyomata of the uterus - Chapter 24 Sexual dysfunction - Chapter 25 Office management of endometriosis - Section V Reproductive endocrinology and infertility - Section VI Nongynecologic conditions - Index - References A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content. - Type - Chapter - Information - Office Care of Women , pp. 274 - 284Publisher: Cambridge University PressPrint publication year: 2016 Sampson, JA. Peritoneal endometriosis due to menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol 1927;14:422–69.CrossRefGoogle Scholar Nnoaham, KE, Hummelshoj, L, Kennedy, SH, et al. and World Endometriosis Research Foundation Women’s Health Symptom Survey C. Developing symptom-based predictive models of endometriosis as a clinical screening tool: results from a multicenter study. Fertil Steril 2012;98:692–701.CrossRefGoogle ScholarPubMed Simoens, S, Dunselman, G, Dirksen, C, et al. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Hum Reprod 2012;27:1292–9.CrossRefGoogle ScholarPubMed Brosens, IA, Van Ballaer, P, Puttemans, P, Deprest, J. Reconstruction of the ovary containing large endometriomas by an extraovarian endosurgical technique. Fertil Steril 1996;66:517–21.CrossRefGoogle ScholarPubMed Vercellini, P, Chapron, C, DeGiorgi, O, et al. Coagulation or excision of ovarian endometriomas? Am J Obstet Gynecol 2003;188:606–10.CrossRefGoogle ScholarPubMed Gupta, S, Agarwal, A, Sekhon, L, et al. Serum and peritoneal abnormalities in endometriosis: potential use as diagnostic markers. Minerva Ginecol. 2006;58(6):527–51.Google ScholarPubMed Dunselman, GA, Vermeulen, N, Becker, C, et al. ESHRE guideline: management of women with endometriosis. Hum Reprod 2014;29(3):400–12. doi: 10.1093/humrep/det457. Epub 2014 Jan 15.CrossRefGoogle ScholarPubMed Kennedy, S. Should a diagnosis of endometriosis be sought in all symptomatic women? Fertil Steril 2006;86:1312–13; discussion 1317.CrossRefGoogle ScholarPubMed Moore, J, Copley, S, Morris, J, et al. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis. Ultrasound Obstet Gynecol 2002;20:630–4.CrossRefGoogle ScholarPubMed Van Holsbeke, C, Van Calster, B, Guerriero, S, et al. Endometriomas: their ultrasound characteristics. Ultrasound Obstet Gynecol 2010;35:730–40.CrossRefGoogle ScholarPubMed Schreinemacher, MH, Backes, WH, Slenter, JM, et al. Towards endometriosis diagnosis by gadofosveset-trisodium enhanced magnetic resonance imaging. PLoS One 2012;7(3):e33241. doi: 10.1371/journal.pone.0033241. Epub 2012 Mar 22.CrossRefGoogle ScholarPubMed Pascual, MA, Guerriero, S, Hereter, L, et al. Diagnosis of endometriosis of the rectovaginal septum using introital three-dimensional ultrasonography. Fertil Steril 2010;94:2761–5.CrossRefGoogle ScholarPubMed May, KE, Conduit-Hulbert, SA, Villar, J, et al. Peripheral biomarkers of endometriosis: a systematic review. Hum Reprod Update 2010;16:651–74.CrossRefGoogle ScholarPubMed May, KE, Villar, J, Kirtley, S, et al. Endometrial alterations in endometriosis: a systematic review of putative biomarkers. Hum Reprod Update 2011;17:637–53.CrossRefGoogle ScholarPubMed Maiorana, A, Cicerone, C, Niceta, M, Alio, L. Evaluation of serum CA 125 levels in patients with pelvic pain related to endometriosis. Int J Biol Markers 2007;22:200–2.CrossRefGoogle ScholarPubMed Mol, B, Bayram, N, Lijmer, J, et al. The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis. Fertil Steril 1998;70:1101–8.CrossRefGoogle ScholarPubMed Giudice, LC. Clinical practice: endometriosis. N Engl J Med 2010;362(25):2389–98. doi: 10.1056/NEJMcp1000274.CrossRefGoogle ScholarPubMed Allen, C, Hopewell, S, Prentice, A, Gregory, D. Nonsteroidal anti-inflammatory drugs for pain in women with endometriosis. Cochrane Database Syst Rev 2009;2:CD004753.Google Scholar Brown, J, Pan, A, Hart, RJ. Gonadotrophin-releasing hormone analogues for pain associated with endometriosis. Cochrane Database Syst Rev 2010; 12:CD008475.Google Scholar Practice Committee of the American Society for Reproductive Medicine. Treatment of pelvic pain associated with endometriosis: a committee opinion. Fertil Steril 2014;101(4):927–35. doi: 10.1016/j.fertnstert.2014.02.012. Epub 2014 Mar 13.Google Scholar Gupta, S, Goldberg, JM, Aziz, N, et al. Pathogenic mechanisms in endometriosis-associated infertility. Fertil Steril 2008;90(2):247–57. doi: 10.1016/j.fertnstert.2008.02.093.CrossRefGoogle ScholarPubMed De Ziegler, D, Borghese, B, Chapron, C. Endometriosis and infertility: pathophysiology and management. Lancet 2010;376(9742):730–8. doi: 10.1016/S0140-6736(10)60490–4.CrossRefGoogle ScholarPubMed Omland, AK, Tanbo, T, Dale, PO, Abyholm, T. Artificial insemination by husband in unexplained infertility compared with infertility associated with peritoneal endometriosis. Hum Reprod 1998;13:2602–5.CrossRefGoogle ScholarPubMed Jacobson, TZ, Duffy, JM, Barlow, D, et al. Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev 2010;1:CD001398.Google Scholar Garcia-Velasco, JA, Mahutte, NG, Corona, J, et al. Removal of endometriomas before in vitro fertilization does not improve fertility outcomes: a matched, case-control study. Fertil Steril 2004;81:1194–7.Google ScholarPubMed Surrey, ES, Silverberg, KM, Surrey, MW, Schoolcraft, WB. Effect of prolonged gonadotropin-releasing hormone agonist therapy on the outcome of in vitro fertilization-embryo transfer in patients with endometriosis. Fertil Steril 2002;78:699–704.CrossRefGoogle Scholar Sallam, HN, Garcia-Velasco, JA, Dias, S, Arici, A. Long-term pituitary down-regulation before in vitro fertilization (IVF) for women with endometriosis. Cochrane Database Syst Rev 2006;1:CD004635.Google Scholar ACOG. Practice bulletin no. 114: management of endometriosis. Obstet Gynecol 2010;116(1):223–36. doi: 10.1097/AOG.0b013e3181e8b073.Google Scholar Garcia-Velasco, JA, Somigliana, E. Management of endometriomas in women requiring IVF: to touch or not to touch. Hum Reprod 2009;24:496–501.CrossRefGoogle ScholarPubMed Leyland, N, Casper, R, Laberge, P, Singh, SS; SOGC. Endometriosis: diagnosis and management. J Obstet Gynaecol (Can) 2010;32(7 Suppl 2):S1–32.Google ScholarPubMed Practice Committee of the American Society for Reproductive Medicine. Endometriosis and infertility: a committee opinion. Fertil Steril 2012;98(3):591–8. Epub 2012 Jun 15.Google Scholar Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. - 1 - Cited by To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. 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endometriosis

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