Endometriosis: The gynecologist's opinion
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Endometriosis, affecting 7-10% of women, is diagnosed surgically and treated based on patient factors, with surgery being primary for infertility.
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Abstract
Endometriosis is defined as the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis affects 7-10% of women of reproductive age, 60% of women with pelvic pain, and up to 50% of women with infertility. Etiology and pathogenesis of the disease are still unclear, with the theory of retrograde menstruation, and possibly associated cofactors, as the most important. The definitive method to diagnose endometriosis is visualization at surgery, preferably at laparoscopy, with histology confirmation of disease. The revised classification of the American Society for Reproductive Medicine is used to stage the disease and determine the patient's prognosis. The treatment of the disease depends on the patient's age, associated symptoms, and disease stage. Medical or surgical therapy may be used in case of pain associated with endometriosis, whereas surgery is the mainstay of treatment in case of endometriosis-associated infertility.
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Cited by (11)
- Identification of Novel Putative Urinary Markers of Endometriosis by High-Resolution Quantitative Proteomics 2020
- Management of ureteral endometriosis and review of the literature 2018
- Conservative treatment of deep infiltrating endometriosis: review of existing options 2017
- Cervical mucus proteome in endometriosis 2017
- Low-dose SKA Progesterone and Interleukin-10 modulate the inflammatory pathway in endometriotic cell lines 2017
- Different patterns of pelvic ureteral endometriosis. What is the best treatment? Results of a retrospective analysis 2016
- Is it possible to diagnose endometriosis at the level of endometrium? 2016
- Intrinsic Ureteral Endometriosis: Description of a Striking Instance 2014
- Obstacles And Pitfalls Of Endometriosis-Related Chronic Pelvic Pain Management: Trying To Alleviate The Burden 2013
- Interplay between Misplaced Müllerian-Derived Stem Cells and Peritoneal Immune Dysregulation in the Pathogenesis of Endometriosis 2013
- Lumbar Ureteral Stenosis due to Endometriosis: Our Experience and Review of the Literature 2013
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- europepmc
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- openalex
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- pubmed
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