Endometriose, dificuldades no diagnóstico precoce e a infertilidade feminina: Uma Revisão

In: Research, Society and Development · 2021 · vol. 10(6) , pp. e6010615661 · doi:10.33448/rsd-v10i6.15661 · W3160603012
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This narrative review investigated difficulties in the early diagnosis of endometriosis and its link to female infertility, finding that uncertain etiopathogenesis and lack of information hinder timely diagnosis.

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This narrative review investigated difficulties in the early diagnosis of endometriosis and its relationship to female infertility by searching SciELO, PubMed/MEDLINE, and BVS for studies published from 2001 to 2021, using descriptors related to endometriosis, early diagnosis, female infertility, and treatment alternatives. Across the included literature, the paper highlights that endometriosis has uncertain etiopathogenesis, and that this uncertainty—together with a lack of information—contributes to delays in diagnosis, which can affect patients’ ability to recover, alongside the condition’s links to chronic pelvic pain and infertility. A major limitation is that the review is narrative rather than systematic, and it does not specify a narrower evidence grading or selection strategy beyond database searching and descriptor use. This paper is centrally about endometriosis — it reviews barriers to early diagnosis and connects these issues to infertility in women.

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Abstract

A endometriose é uma patologia que afeta milhares de mulheres no mundo, isso se deve à presença de tecido endometrial extrauterino, que responde à estimulação hormonal e pode causar uma reação inflamatória resultando em sintomas como dor pélvica crônica severa e infertilidade. No Brasil, cerca de 7 milhões de mulheres sofrem com a doença, cujo diagnóstico, prontuário e pesquisas são altamente deficientes, o que dificulta a recuperação das pacientes. Desse modo, este estudo teve como objetivo investigar as dificuldades no diagnóstico precoce da endometriose e sua relação com a infertilidade feminina por meio de uma revisão narrativa. Foram realizadas buscas bibliográficas nas seguintes bases de dados: SciELO, PubMed/MEDLINE e BVS, por se tratarem de bases de dados que concentram publicações de excelência voltadas para a área da saúde. A seleção dos estudos publicados nas bases de dados foi compreendida entre os anos de 2001 a 2021, utilizando os descritores reconhecidos pelos DECs: “Endometriosis”, “Early Diagnosis”, “Infertility Female” e “Treatmet Alternatives”. Assim, obtivemos resultados de estudos que abordam aspectos envolvidos na dificuldade de se obter o diagnóstico precoce da endometriose, além dos tratamentos disponíveis. Evidenciamos que a endometriose ainda é uma doença de etiopatogenia incerta, e que essa incerteza contribui para a dificuldade de diagnóstico da doença, na qual a falta de informações se destaca como um dos principais fatores que dificultam o diagnóstico precoce da endometriose.
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Endometriosis, difficulties in early diagnosis and female infertility: A review DOI: https://doi.org/10.33448/rsd-v10i6.15661Keywords: Endometriosis, Early diagnosis, Infertility, Treatment.Abstract Endometriosis is a pathology that affects thousands of women worldwide, this is due to the presence of extrauterine endometrial tissue, which responds to hormonal stimulation and can cause an inflammatory reaction resulting in symptoms such as severe chronic pelvic pain and infertility. In Brazil, about 7 million women suffer from the disease, whose diagnosis, medical records and research are highly deficient, making it difficult for patients to recover. Thus, this study aimed to investigate the difficulties in the early diagnosis of endometriosis and its relation with female infertility through a narrative review. Bibliographic searches were carried out in the following databases: SciELO, PubMed/MEDLINE and BVS, as these are databases that concentrate publications of excellence focused on the health area. The selection of studies published in the databases was understood between the years 2001 to 2021, using the descriptors recognized by the DECs: "Endometriosis", "Early Diagnosis", "Infertility Female" and "Treatmet Alternatives". Thus, we obtained results from studies that address aspects involved in the difficulty of obtaining an early diagnosis of endometriosis, in addition to the available treatments. In which we show that endometriosis is still a disease of uncertain etiopathogenesis, and that this uncertainty contributes to the difficulty of diagnosing the disease, in which one of the biggest factors that hinder the early diagnosis of endometriosis is the lack of information. References Araújo, F. W. C.; Schmidt, D. B. (2020). 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European Journal of Obstetrics & Gynecology and Reproductive Biology, 96(1), 21-34. https://doi.org/10.1016/S0301-2115(00)00405-X Downloads Published Issue Section License Copyright (c) 2021 Juliana Ilky da Silva Lima Torres; Joabe Lima Araújo; Julia Augusto Vieira; Cristiele dos Santos Souza; Ionara Nayana Gomes Passos; Lindalva de Moura Rocha This work is licensed under a Creative Commons Attribution 4.0 International License. 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