Management of the Patient with Suspected Endometriosis in Primary Care

In: Women's Health in Primary Care · 2017 · pp. 142–148 · doi:10.1017/9781316537398.020 · W2609544170
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This paper reviews the diagnosis and management of suspected endometriosis within a primary care setting, offering guidance for practitioners.

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This chapter from “Women’s Health in Primary Care” addresses the assessment and management of patients with suspected endometriosis in primary care, focusing on how clinicians approach diagnosis and treatment planning in that setting. It synthesizes existing evidence and guidelines and discusses diagnostic pathways, including the role of clinical evaluation and investigations such as imaging and referral considerations. A key limitation is that, as a narrative chapter rather than an original study, it provides no new primary data and may depend on the scope and evidence available up to its 2017 publication date. This paper is centrally about endometriosis — it is specifically focused on managing patients with suspected endometriosis in primary care.

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Abstract

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- Women's Health in Primary Care - Women's Health in Primary Care - Copyright page - Contents - Contributors - Foreword - Preface - Chapter 1 The Physiology of the Menstrual Cycle and its Impact on Menstrual Cycle Disorders - Chapter 2 Management of Children and Adolescents with Gynaecological Problems in Primary Care - Chapter 3 Contraceptive Choices in Primary Care - Chapter 4 Managing Contraception Problems in Primary Care - Chapter 5 Management of Vaginal Discharge in Primary Care - Chapter 6 Sexually Transmitted Infections Managed in Primary Care - Chapter 7 Cervical Pathology in Primary Care - Chapter 8 Management of Patients with Psychosexual Problems in Primary Care - Chapter 9 Infertility Management in Primary Care - Chapter 10 Ectopic Pregnancy from a Primary Care Perspective - Chapter 11 Management of Miscarriage in Primary Care - Chapter 12 Pregnancy-Related Issues Relevant for Primary Care - Chapter 13 Postnatal Care in Primary Care - Chapter 14 Polycystic Ovary Syndrome - Chapter 15 Management of Premature Ovarian Insufficiency in Primary Care - Chapter 16 Premenstrual Disorders PMD - Chapter 17 Non-Menstrual Vaginal Bleeding Management in Primary Care - Chapter 18 Management of the Patient with Suspected Endometriosis in Primary Care - Chapter 19 Management of the Patient with Heavy Menstrual Bleeding in Primary Care - Chapter 20 Management of the Patient with Continence Problems in Primary Care - Chapter 21 Managing Cystitis in Primary Care - Chapter 22 The Management of Ovarian Cysts in Primary Care - Chapter 23 Managing Menopause in Primary Care - Chapter 24 Vulval Dermatoses in Primary Care - Chapter 25 Management of the Patient with Pelvic Organ Prolapse in Primary Care - Chapter 26 Ovarian Cancer: Improving Outcomes - Chapter 27 The Management of Endometrial Hyperplasia and Carcinoma in Primary Care - Chapter 28 The Management of Fibroids in Primary Care - Chapter 29 Osteoporosis and Fracture Prevention in Primary Care - Chapter 30 Management of the Patient with Benign and Malignant Breast Conditions in Primary Care - Index - Plate Section - References Published online by Cambridge University Press: 29 April 2017 Book contents - Women's Health in Primary Care - Women's Health in Primary Care - Copyright page - Contents - Contributors - Foreword - Preface - Chapter 1 The Physiology of the Menstrual Cycle and its Impact on Menstrual Cycle Disorders - Chapter 2 Management of Children and Adolescents with Gynaecological Problems in Primary Care - Chapter 3 Contraceptive Choices in Primary Care - Chapter 4 Managing Contraception Problems in Primary Care - Chapter 5 Management of Vaginal Discharge in Primary Care - Chapter 6 Sexually Transmitted Infections Managed in Primary Care - Chapter 7 Cervical Pathology in Primary Care - Chapter 8 Management of Patients with Psychosexual Problems in Primary Care - Chapter 9 Infertility Management in Primary Care - Chapter 10 Ectopic Pregnancy from a Primary Care Perspective - Chapter 11 Management of Miscarriage in Primary Care - Chapter 12 Pregnancy-Related Issues Relevant for Primary Care - Chapter 13 Postnatal Care in Primary Care - Chapter 14 Polycystic Ovary Syndrome - Chapter 15 Management of Premature Ovarian Insufficiency in Primary Care - Chapter 16 Premenstrual Disorders PMD - Chapter 17 Non-Menstrual Vaginal Bleeding Management in Primary Care - Chapter 18 Management of the Patient with Suspected Endometriosis in Primary Care - Chapter 19 Management of the Patient with Heavy Menstrual Bleeding in Primary Care - Chapter 20 Management of the Patient with Continence Problems in Primary Care - Chapter 21 Managing Cystitis in Primary Care - Chapter 22 The Management of Ovarian Cysts in Primary Care - Chapter 23 Managing Menopause in Primary Care - Chapter 24 Vulval Dermatoses in Primary Care - Chapter 25 Management of the Patient with Pelvic Organ Prolapse in Primary Care - Chapter 26 Ovarian Cancer: Improving Outcomes - Chapter 27 The Management of Endometrial Hyperplasia and Carcinoma in Primary Care - Chapter 28 The Management of Fibroids in Primary Care - Chapter 29 Osteoporosis and Fracture Prevention in Primary Care - Chapter 30 Management of the Patient with Benign and Malignant Breast Conditions in Primary Care - Index - Plate Section - 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 - Women's Health in Primary Care , pp. 142 - 148Publisher: Cambridge University PressPrint publication year: 2017 Eskanazi, B, Warner, ML, Epidemiology of endometriosis. Obstet Gynecol Clin N Am 1997;24(2):235–258.CrossRefGoogle Scholar Ozkan, S, Murk, W, Arici, A, Endometriosis and infertility: epidemiology and evidence based treatments. Ann NY Acad Sci 2008;1127:92–100.CrossRefGoogle ScholarPubMed Treoar, SA, O'Connor, DT, O'Connor, VM, Martin, NG, Genetic influences on endometriosis in an Australian twin sample. Fertil Steril 1999;71:701–710.CrossRefGoogle Scholar DeGraaff, AA, D'Hooghe, TM, Dunselman, GA, et al. The significant effect of endometriosis on physical, mental and social wellbeing: results from an international cross-sectional survey. Hum Reprod 2013;28:2677–2685.CrossRefGoogle Scholar Ballard, K, Lowton, K, Wright, J, What's the delay? A qualitative study of women's experiences of reaching a diagnosis of endometriosis. Fert Steril 2006;86:1296–1301.CrossRefGoogle Scholar Pugsley, Z, Ballard, K, Assessment of endometriosis in general practice: the pathway to diagnosis. Br J Gen Pract. 2007:57(539):470–476.Google Scholar Gruppo Italiano per lo Studio dE. Relationship between stage, site and morphological characteristics of pelvic endometriosis and pain. Hum Reprod 2001;16(12):2668–2671.CrossRefGoogle Scholar Holland, TK, Yazbek, J, Cutner, A, et al. Value of transvaginal ultrasound in assessing severity of pelvic endometriosis. Ultrasound Obstet Gynaecol 2010;36(2):241–248.CrossRefGoogle ScholarPubMed Dunselman, G, Vermeulen, N, Becker, C et al. ESHRE guideline: management of women with endometriosis. Hum Reprod 2014;29(3):400–412.CrossRefGoogle ScholarPubMed Vercellini, P, Frontino, G, De Giorgi, O, et al. Continuous use of an oral contraceptive for endometriosis-associated recurrent dysmenorrhoea that does not respond to a cyclic pill regimen. Fertil Steril 2003;80(3):560–563.CrossRefGoogle Scholar Duffy, JMN, Arambage, K, Correa, FJS et al. Laparoscopic Surgery for Endometriosis. The Cochrane Library. Issue 4. John Wiley and Sons Ltd. 2014.Google ScholarPubMed Jacobsen, TZ, Duffy, JM, Barlow, D, et al. Laparoscopic surgery for subfertility associated with endometriosis. Cochrane Database Syst Rev 2010;(1):CD001398.Google Scholar Vercellini, P, Fedele, L, Aimi, G, et al. Reproductive performance, pain recurrence and disease relapse after conservative surgical treatment for endometriosis: the predictive value of the current classification system. Hum Reprod 2006;21:2679–2685.CrossRefGoogle ScholarPubMed Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. 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. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Management of the Patient with Suspected Endometriosis in Primary Care - - Book: Women's Health in Primary Care - Online publication: 29 April 2017 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Management of the Patient with Suspected Endometriosis in Primary Care - - Book: Women's Health in Primary Care - Online publication: 29 April 2017 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Management of the Patient with Suspected Endometriosis in Primary Care - - Book: Women's Health in Primary Care - Online publication: 29 April 2017

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (14)

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