Endometriosis

Diagnosis and Management of Endometriosis

Diagnosis and Management of Endometriosis

Physical Examination   Inspection by examiner sitting at eye level of cervix Cervix displaced 1 cm or more lateral to midline Outflow obstruction favoring retrograde menstruation Cervical stenosis Imperforate hymen Transverse vaginal septum Uterine anomaly…


Clinical manifestations of endometriosis

Clinical manifestations of endometriosis

Clinical Manifestations   ENDOMETRIOSIS ASSOCIATED PAIN   Acquired dysmenorrhea: possibly as early as third menstrual cycle in adolescents Three or more emergency visits for unexplained pelvic pain Low central backache and lower abdominal pain Midcycle…


Endometriosis Risk factors

Endometriosis Risk factors

PURPORTED RISK FACTORS   Reproductive age Mean age at diagnosis is 25 to 29 years. Adolescents are more likely to have Mullerian duct anomalies or cervical or vaginal obstruction. Postmenopausal women are more likely to…


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The Histogenesis of Endometriosis

  Theories of Histogenesis   General theories include the following: Coelomic metaplasia Transplantation of shed endometrium Direct extension, hematologic, and lymphatic spread Impaired immune system   Special theory of histogenesis to explain endometriosis in peritoneal pockets….