Endometriosis and pain

Michel Canis, Sachiko Matsuzaki, C. Rivoire, К. Jardon, S. Tamburro, B. Rabischong, G. Mage
2007 · W3142681700
article OA: closed CC0 Metadata only
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Endometriosis, a common and incapacitating disease defined by ectopic endometrial tissue, causes dysmenorrhea, dyspareunia, and chronic pain, with deep lesions often leading to digestive or urinary issues.

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Abstract

Resume ´ : L'endometriose est une maladie benigne, tres invalidante et frequente, definie par la presence d'endo- metre, epithelium et stroma, en situation ectopique. Sa physiopathologie, et celle des douleurs qui l'accompa- gnent, est mal connue. Les signes cliniques de cette pathologie hormonodependante sont dysmenorrhee, dys- pareunie et douleur chronique. On distingue deux grands types d'endometriose : l'endometriose superficielle ou minime et les formes severes ou infiltrantes. Meme s'il n'existe pas de parallelisme anatomoclinique, on sait que les lesions infiltrantes sont plus souvent a l'origine de dyspareunie, de troubles digestifs ou urinaires associes. Le traitement est soit un traitement medical qui stoppe la maladie en induisant une amenorrhee, soit un traitement chirurgical qui consiste en une destruction ou une excision des lesions. Ce traitement chirurgical est le plus souvent realisepar cœlioscopie. Les indications respectives de ces deux traitements dependent du type de lesion et des circonstances diagnostiques et cliniques. Mots cles: Endometriose -D ouleur -P hysiopathologie Abstract: Endometriosis is a benign disease, very incapacitat- ing and common disease that is characterised by the endometrium, epithelium and stroma existing in an ectopic presentation. The physiopathology of this disease and its associated pain is not well known. The clinical symptoms of this hormone-dependent disease are dysmenorrhea, dyspareunia and chronic pain. There are two main types of endometriosis: superficial endometriosis and more severe forms of endome- triosis. Although there are no anatomical and clinical similarities, deep lesions very often cause dyspareunia, and associated digestive or urinary disorders. Treatment is either medical, which stops the disease by inducing amenorrhea; or surgical, which involves destroying or excising the lesions. Surgery is most commonly done by laparoscopy. The respective indications for these two types of treatment depend on the lesion type and the diagnostic and clinical circumstances.

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Condition tags

endometriosisdysmenorrheadyspareunia

Citation neighborhood

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References (74)

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