Managing the misplaced: approach to endometriosis

Bethany Jackson, Jackson B, Deanna E Telner, Deanna Telner, Telner DE
Canadian family physician Medecin de famille canadien · 2006 · vol. 52(11) , pp. 1420–4 · PMID:17279199 · PMC1783710 · W1903557822
Review OA: green CC0 ⤵ 19 in-corpus citations
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This review covers the presentation, diagnosis, and medical/surgical management of endometriosis, a common progressive disease affecting 10% of women that can cause pelvic pain and infertility.

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Abstract

OBJECTIVE: To review the presentation of endometriosis, steps to diagnosis, and medical and surgical management options. SOURCES OF INFORMATION: MEDLINE was searched from January 1996 to November 2004, EMBASE from January 1996 to January 2005, and the Cochrane Database of Systematic Reviews for the 4th quarter of 2004. MAIN MESSAGE: Endometriosis is a common, progressive disease with an estimated prevalence of 10%. It can cause dyspareunia, dysmenorrhea, low back pain, and infertility. It can be diagnosed on clinical grounds and treated without laparoscopy provided pregnancy is not desired. First- and second-line medical treatments are nonsteroidal anti-inflammatory drugs, combined oral contraceptive pills, progestins, gonadotropin-releasing hormone agonists, and androgens. Surgical options should be considered when these medications are ineffective or if pregnancy is desired. CONCLUSION: Family physicians have an important role in diagnosing and treating women with endometriosis.

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Condition tags

endometriosisdysmenorrheadyspareuniainfertility

MeSH descriptors

Endometriosis Endometriosis Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Contraceptives, Oral, Combined Contraceptives, Oral, Combined Contraceptives, Oral, Combined Danazol Danazol Danazol Endometriosis Endometriosis Endometriosis Estrogen Antagonists Estrogen Antagonists Estrogen Antagonists Female Female Gonadotropin-Releasing Hormone

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (12)

Cited by (17)

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