Hysteroscopic Findings in the Endometriosis Patient

In: Hysteroscopy · 2017 · pp. 501–513 · doi:10.1007/978-3-319-57559-9_45 · W2789801447
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This paper advocates for routine hysteroscopy in endometriosis patients to assess the uterine cavity for structural abnormalities that may contribute to the disease.

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This chapter discusses the relationship between uterine structural abnormalities and endometriosis pathogenesis, framing how abnormal uterine architecture may contribute to dysperistalsis and retrograde menstruation. Drawing on the premise that uterine cavity assessment is important in endometriosis patients, it states that hysteroscopy should be performed routinely at the time of laparoscopy for these patients, while noting that laparoscopy is the gold standard for diagnosing and treating endometriosis. A key caveat is that the chapter reflects a rationale and clinical recommendation rather than presenting new empirical results or a detailed methodology. This paper is centrally about endometriosis — specifically, it focuses on hysteroscopic assessment of the uterine cavity in endometriosis patients and links uterine architecture to endometriosis mechanisms.

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Abstract

Endometriosis is a disease of ectopic endometrial-like tissue implanting outside the uterine cavity. While the exact cause of endometriosis is not completely understood, abnormal uterine architecture is thought to play a significant role in endometriosis due to dysperistalsis and retrograde reflux menstruation. The gold standard for diagnosing and treating endometriosis is laparoscopy. However, as patients with uterine structural abnormalities have a higher propensity for developing endometriosis, it is important to perform a thorough assessment of the uterine cavity in the endometriosis patient. Hysteroscopy should be performed routinely at the time of laparoscopy for the endometriosis patient. Similar content being viewed by others

References

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