La Revue du praticien

SEVERE DYSMENORRHEA AND ENDOMETRIOSIS. Severe dysmenorrhoea, or grade 3 dysmenorrhoea according to the Andersch and Millson classification, is present in the vast majority of patients suffering from endometriosis from the first menstrual pe…

ENDOMETRIOSIS, PHYSICAL ACTIVITY AND SPORT. Endometriosis is a chronic, inflammatory gynecological disorder that impacts the quality of life of 10% of women of reproductive age with chronic recurrent pain and/or infertility. Management is a…

IMAGING OF OVARIAN CANCERS Imaging of ovarian lesions is based on the triptych: pelvic ultrasound with Doppler, magnetic resonance imaging (MRI) and computed tomography (CT). Endovaginal pelvic ultrasound is the first-line examination; tool…

UPDATE ON BOWEL ENDOMETRIOSIS Endometriosis is a relatively common female disease with increasing incidence, probably because of better diagnostic tools and a better understanding of the pathology. We will focus our subject on bowel endomet…

The treatment of first intention for endometriosis must be surgery. In cases of infertility the surgical treatment of choice is laparoscopic surgery, maybe in conjunction with the medical treatment and possibly followed-up by a second-look.…

Menometrorrhagia is a frequent bleeding symptom in young women, and may be related to an inherited bleeding disorder. If there is no gynecological etiology, hemostasis tests are required. The early medical management of these teenage girls …

Chronic pelvic pain in a woman with at least one history of caesarean should lead to the diagnosis of parietal endometrioma on a caesarean section scar, even years after. The most suggestive clinical picture is chronic cyclical pelvic pain …

Endometriosis is a benign disorder affecting 10 to 15% of women of reproductive age. It is defined by the presence of endometrium-like tissue outside the uterus. There are three different entities of endometriosis: superficial endometriosis…

The intrauterine insemination with husband's sperm is an assisted reproductive technologie, as proposed in the case of cervical infertility, moderate male infertility, dysovulation, mild or moderate endometriosis or unexplained infertility.…

Menometrorrhagia is a frequent cause of medical consulting. After exclusion of pregnancy, main aetiologies are the uterine (polyp, myoma, adenomyosis, cancer) or adnexial abnormality (ovarian cyst or cancer), the disorders of hemostasis (Wi…

EPIDEMIOLOGY OF CHRONIC PELVIC PAIN. The prevalence of chronic pelvic pain (CPP) varies widely in literature due to varying definitions of cases and to the diversity of populations studied. Estimates range from 2.1% to 30.9% among women in …

Endometriosis is an estrogen-dependant disease that affects 10 to 15% of women of reproductive age. Its aetiology and molecular mechanisms involved have not yet been fully explored. Endometriosis is defined by the presence of endometrium-li…

Choosing a contraceptive method is difficult in women with a disease or presenting specific risk factors. The possible life-threatening effects of the contraceptive on the disease and the possible drug interactions should be taken into cons…

Intrauterine insemination has been proposed for a long time and its place took benefits from the knowledge in IVF: sperm preparation and ovarian stimulation. Initially the first line therapy for male factor, cervical factor and unexplained …

Endometrial cancer, a hormone-related disease with unopposal hyperestrogenemia as one of its major risk factor is usually diagnosed during post menopausal bleeding. Pathologic examination after endometrial biopsy or curettage is mandatory f…

There are two places for laparoscopic surgery in the management of uterine cancer. For the patients who have to be submitted to primary surgery the laparoscope enables us to select the ones who can be operated without laparotomy (no lymph n…

Adenomyosis keeps a strange and unknown feature. Indeed, therefore of an unclear physiopathology, the difficult diagnosis due to the lack of specificity of symptoms and the absence of effective conservative treatment, adenomyosis is still t…

Natural history of endometriosis is unpredictable. Some recent data show that endometriosis is a progressive disease. Minimal lesions are transient and peritoneal implants are reorganized continuously. So, minimal endometriosis could be con…

The presence of ectopic endometrial tissue defines endometriosis. External endometriosis, the real one, can be observed everywhere in the woman body and in genitourinary tract in man. Macroscopic and histologic features depend on their dura…

The relation between endometriosis and sterility is still unclear, especially in minimal and mild forms. When the decision to treat endometriosis is made, the question about how to treat raises. An hormonal treatment of minimal or mild endo…