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  • Endometriosis

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    Endometriosis is a benign disorder where endometrial cells are present outside the uterine wall, occurring in 5-15% of women. It often presents with a tender, fixed adnexal mass and causes pelvic pain, dysmenorrhea, dyspareunia, and dyschezia. The diagnosis is made through laparoscopy or laparotomy showing endometrial tissue outside the uterus. Treatment options include hysterectomy, laparoscopic surgery to remove lesions and adhesions, or medical management with NSAIDs, progestins, danazol, or GnRH analogs.

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    Endometriosis is a benign disorder where endometrial cells are present outside the uterine wall, occurring in 5-15% of women. It often presents with a tender, fixed adnexal mass and causes pelvic pain, dysmenorrhea, dyspareunia, and dyschezia. The diagnosis is made through laparoscopy or laparotomy showing endometrial tissue outside the uterus. Treatment options include hysterectomy, laparoscopic surgery to remove lesions and adhesions, or medical management with NSAIDs, progestins, danazol, or GnRH analogs.

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    69 views7 pages

    Endometriosis

    Uploaded by

    nguyennh
    Endometriosis is a benign disorder where endometrial cells are present outside the uterine wall, occurring in 5-15% of women. It often presents with a tender, fixed adnexal mass and causes pelvic pain, dysmenorrhea, dyspareunia, and dyschezia. The diagnosis is made through laparoscopy or laparotomy showing endometrial tissue outside the uterus. Treatment options include hysterectomy, laparoscopic surgery to remove lesions and adhesions, or medical management with NSAIDs, progestins, danazol, or GnRH analogs.

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    of 7

    Nguyen

    • Benign disorder where endometrial cells are


    present outside of the uterine wall.
    • Occurs in 5-15% of women
    • PE: Tender, fixed adnexal mass upon
    bimanual palpation
    • Office visit usually due to infertility & pelvic
    pain.
    • S/S Triad:
    – Dysmenorrhea
    – Dyspareunia
    – Dyschezie
    Under the influence of hormones that regulate menstrual cycle

    Normal endometrial lining breaks Endometrial tissue located outside of the


    down and exits the body. uterus sheds the lining but CANNOT exit.

    Blood traps inside the body.

    Form Cysts. Irritate the surrounding tissue

    Scar tissue & Adhesion Pain.

    Infertility
     Clinical suspicion of afebrile patient with S/S as
    noted before.
     Serum levels of CA125 may be present
    (nonspecific since it’s only positive in 20%)
     Definitive diagnosis is made with Gross and
    Histologically by Laproscopy or Laparotomy.
     Total Abdominal Hysterectomy & bilateral
    salpon-oophorectomy
     Laparoscopic surgery to destroy adhesion and
    endometrial lining outside of uterus
     Medical: 1st NSAIDs 2nd Progestin, Danazol, or
    GnRH analogs
    Powder-Burn Lesion
     Medindia.net
     http://www.endo-resolved.com/picture.html

     http://www.ivf.com/galendo.html
     Hacker and Moore’s Essentials of Obstetrics
    and Gynecology. 5th ed.

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