Diagnosis and treatment of endometriosis.
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Endometriosis, a common progressive disease causing pain and infertility, is definitively diagnosed via laparoscopy and treated with medical or surgical interventions that offer symptom relief but have high recurrence or limited impact on infertility.
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Abstract
Endometriosis is a progressive disease affecting 5 to 10 percent of women. It can cause dyspareunia, dysmenorrhea, low back pain and infertility. A definitive diagnosis can be made only by means of laparoscopy. Medical treatment designed to interfere with ovulation generally provides effective pain relief, but the recurrence rate following cessation of therapy is high, and this type of treatment will not resolve infertility. Surgical treatment improves pregnancy rates and is the preferred initial treatment for infertility caused by endometriosis. Surgery also appears to provide better long-term pain relief than medical treatment. Bilateral oophorectomy and hysterectomy are treatment options for patients with intractable pain, if childbearing is no longer desired.
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Cited by (50)
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- Diagnosis and Management of Endometriosis: Are We Following the Canadian Clinical Practice Guidelines? 2022
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- Prevalence of endometriosis among women undergoing diagnostic laparoscopy at a tertiary hospital in North-Western Nigeria 2020
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- Elevated Levels of Monocyte Chemotactic Protein-1 in the Follicular Fluid Reveals Different Populations among Women with Severe Endometriosis 2020
- Effects of medical and surgical treatment on the risk of major adverse cardiovascular and cerebrovascular events in Asian women with endometriosis 2019
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- The Association between Endometriosis Appearance during Laparoscopic Surgery and Pain Characteristic in Pelvic Endometriosis 2019
- Pelvic Physical Therapy for Chronic Pain and Dysfunction Following Laparoscopic Excision of Endometriosis: Case Report 2019
- A potential role of cyclin-dependent kinase inhibitor 1 (p21/WAF1) in the pathogenesis of endometriosis: Directions for future research 2019
- Evaluation, validation and refinement of noninvasive diagnostic biomarkers for endometriosis (ENDOmarker): A protocol to phenotype bio-specimens for discovery and validation 2018
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- Endometriosis in a Postmenopausal Patient Presenting as an Erythematous Vaginal Plaque 2016
- The Clinical Usefulness of Endometrial Biopsy for the Diagnosis of Endometriosis in the Work up of Women with Infertility 2016
- in vitro Anti-Proliferative Effect of Adiponectin on Human Endometriotic Stromal Cells through AdipoR1 and AdipoR2 Gene Receptor Expression. 2016
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- Pelvic endometriosis and uretero-hydronephrosis: clinical, imagistic and surgical implications--case report. 2015
- CHOCOLATE CYST – A COMPLEX OVARIAN ENDOMETRIOMA 2014
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- Does Helica treatment of early endometriosis confer short- and long-term benefits in terms of pain relief and sub-fertility? 2013
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- Endometriosis - Morphology, clinical presentations and molecular pathology 2010
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- Endometriosis: cost estimates and methodological perspective 2007
- Are gonadotropin-releasing hormone analogs and laparoscopic ablation equally effective treatments for endometriosis? 2007
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