Clinical features of endometriosis: a review of literature

1. to discuss clinical features of endometriosis 2. to know the prevalence of infertility in endometriosis

Background: The study shows the clinical features of endometriosis, common laparoscopic findings of endometriosis, and incidence in a particular age group. Objectives of current study were to discuss the clinical features of endometriosis and to know the prevalence of infertility in endometriosis

Cases of infertility, chronic pelvic pain, dysmenorrhoea, and laparoscopically diagnosed endometriosis were considered for this study.

Endometriosis is a disease in which the endometrium (the tissue that lines the inside of the uterus or womb) is present outside the uterus. Endometriosis most commonly occurs in the lower abdomen or pelvis, but it can appear anywhere in the body. Symptoms of endometriosis include lower abdominal pain, dysmenorrhoea, dyspareunia, and infertility.

This study show typical clinical features and prevalence of infertility in patients with endometriosis in a tertiary care centre. Cases of infertility, chronic pelvic pain, dysmenorrhoea, and laparoscopically diagnosed endometriosis were considered for this study.

and conclusion: Endometriosis is a disease in which the endometrium (the tissue that lines the inside of the uterus or womb) is present outside of the uterus. Endometriosis most commonly occurs in the lower abdomen or pelvis, but it can appear anywhere in the body. Symptoms of endometriosis include lower abdominal pain, dysmenorrhoea, dyspareunia, and infertility. This study is to know the common clinical features and prevalence of infertility in patients with endometriosis in a tertiary care centre. Metrics

Bazot M, Bharwani N, Huchon C, Kinkel K, Cunha TM, Guerra A, et al. European society of urogenital radiology (ESUR) guidelines: MR imaging of pelvic endometriosis. Eur Radiol. 2017;27(7):2765-75. Coutinho A, Bittencourt LK, Pires CE, Junqueira F, Lima CM, Coutinho E, et al. MR imaging in deep pelvic endometriosis: a pictorial essay. Radiographics. 2011;31(2):549-673. Chamié LP, Blasbalg R, Pereira RM, Warmbrand G, Serafini PC. Findings of pelvic endometriosis at transvaginal US, MR imaging, and laparoscopy. Radiographics. 2011;31(4):E77-100. Adamson GD, Kennedy SH, Hummelshoj L. Creating solutions in endometriosis: global collaboration through the world endometriosis research foundation. J Endometr. 2010;2:3-6. Di Paola V, Manfredi R, Castelli F, Negrelli R, Mehrabi S, Pozzi Mucelli R, et al. Detection and localization of deep endometriosis using MRI and correlation with the ENZIAN score. Eur J Radiol. 2015;84(4):568-74. Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ, et al. Suggestive evidence is that pelvic endometriosis is progressive, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril. 1991;55:759-65. Cosma S, Salgarello M, Ceccaroni M. Accuracy of a new diagnostic tool in deep infiltrating endometriosis: positron emission tomography-computed tomography with 16α-[18F] fluoro-17β-estradiol. J Obstet Gynaecol Res. 2016;42(12):1724-33. Bazot M, Lafont C, Rouzier R, Roseau G, Thomassin-Naggara I, Daraï E, et al. Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis. Fertil Steril. 2009;92(6):1825-33. Brosens I, Puttemans P, Campo R, Gordts S, Brosens J. Non-invasive methods of diagnosis of endometriosis. Curr Opin Obstet Gynecol. 2003; 15(6):519-22. Chapron C, Fauconnier A, Vieira M, Barakat H, Dousset B, Pansini V, et al. Anatomical distribution of deeply infiltrating endometriosis: surgical implications and proposition for a classification. Hum Reprod. 2003;18(1):157-61. Gui B, Valentini AL, Ninivaggi V, Marino M, Iacobucci M, Bonomo L, et al. Deep pelvic endometriosis: don’t forget round ligaments. Review of anatomy, clinical characteristics, and MR imaging features. Abdom Imaging. 2014;39(3):622-32. Del Frate C, Girometti R, Pittino M, Del Frate G, Bazzocchi M, Zuiani C, et al. Deep retroperitoneal pelvic endometriosis: MR imaging appearance with laparoscopic correlation. Radiographics. 2006;26(6):1705-18. Miller EJ, Fraser IS. The importance of pelvic nerve fibers in endometriosis. Womens Health. 2015;11(5): 611-8. Woodward PJ, Sohaey R, Mezzetti TP. Endometriosis: radiologic-pathologic correlation. Radiographics. 2001;21(1):193-216. Janssen E, Rijkers A, Hoppenbrouwers K, Meuleman C, D’Hooghe T, et al. Prevalence of endometriosis diagnosed by laparoscopy in adolescents with dysmenorrhea or chronic pelvic pain: A systematic review. Hum Reprod. 2013;19:570-82.