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  • ENDOMETRIOSIS

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    1. Endometriosis is defined as endometrial tissue growing outside the uterine cavity, including in the ovaries (adenomyosis is endometrial tissue in the myometrium). 2. Theories of causation include retrograde menstruation, transplantation during sexual intercourse or surgery, and induction by chemical or radiation factors transforming peritoneum into endometrium. 3. Risk factors include genetics, race, short menstrual cycle interval, dysmenorrhea, and history of pelvic surgery. 4. Symptoms include cyclic pelvic pain, infertility, painful urination/bowel movements, and painful sex. Diagnosis involves visualization of lesions, adhesions, and thickened

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    1. Endometriosis is defined as endometrial tissue growing outside the uterine cavity, including in the ovaries (adenomyosis is endometrial tissue in the myometrium). 2. Theories of causation include retrograde menstruation, transplantation during sexual intercourse or surgery, and induction by chemical or radiation factors transforming peritoneum into endometrium. 3. Risk factors include genetics, race, short menstrual cycle interval, dysmenorrhea, and history of pelvic surgery. 4. Symptoms include cyclic pelvic pain, infertility, painful urination/bowel movements, and painful sex. Diagnosis involves visualization of lesions, adhesions, and thickened

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    13 views15 pages

    ENDOMETRIOSIS

    Uploaded by

    rinafanes
    1. Endometriosis is defined as endometrial tissue growing outside the uterine cavity, including in the ovaries (adenomyosis is endometrial tissue in the myometrium). 2. Theories of causation include retrograde menstruation, transplantation during sexual intercourse or surgery, and induction by chemical or radiation factors transforming peritoneum into endometrium. 3. Risk factors include genetics, race, short menstrual cycle interval, dysmenorrhea, and history of pelvic surgery. 4. Symptoms include cyclic pelvic pain, infertility, painful urination/bowel movements, and painful sex. Diagnosis involves visualization of lesions, adhesions, and thickened

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    © All Rights Reserved
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    of 15

    Attention

    Please all ringtone


    of cell phone to be
    turned to vibration.
    Thanks
    ENDOMETRIOSIS
    Lilik Prasetyo Nugroho

    Definisi :

    • JAR ENDOMETRIUM DILUAR CAV.


    UTERI
    • ADENOMIOSIS (DLM MIOMETRIUM)
    ETIOLOGI

    1. TRASPLANTASI (SAMPSON)
    - RETROGRADE MENSTRUASI
    - PADA KOITUS PD MENSTRUASI
    - INTERVAL “M” PENDEK
    - DIALISA SAAT “M”
    - LAPARATOMI (saat “M”)
    DIPENGARUHI

    - TEMPAT MASUK
    - GRAVITASI
    - MOBILITAS TRANSPLANTASI
    - KEMAMPUAN MENERIMA/
    TRANSPLANTASI
    2. METAPLASIA COELOMIC (MEYER)
    JAR PERITONIUM 
    METAPLASTIK
    MENJADI ENDOMETRIUM
    3. INDUKSI
    FAKTOR KIMIA / RADIASI YANG
    MENGINDUKSI PERIT 
    ENDOMETRIUM
    4. IMUNOLOGI
    INSIDENSI

    •5%
    • 20 % DISMENORREA
    • 10 – 15 % NYERI PELVIS
    • 30 – 40 % INFERTIL
    FAKTOR RISIKO

    • GENETIK (7 – 9 %)
    • KULIT HITAM JARANG
    • JARAK “M” DEKAT
    • MENORARGEA
    KLINIS

    1. NYERI ABDOMENT
    - SIKLIK
    2. INFERTIL
    3. PUD
    4. KONSTIPASI / DISURIA
    5. DISPAREUNIA
    5. KLINIS

    • TERABA NODUL
    • PENEBALAN PARAMETRIUM
    • MASA CAV. DOUGLAS PADAT
    • KISTA COKLAT
    LAPAROSKOPI / LAPARATOMI
    Endometriosis < 1 cm 1-3 cm > 3 cm
    Peritoneum
    Superficial 1 2 4
    Deep 2 4 6
    Ovary*
    Superficial 1 2 4
    Deep 4 16 20
    Partial Complete
    Posterior cul-de-sac obliteration 4 40
    Adhesions < 1/3 enclosure 1/3-2/2 enclosure > 2/3 enclosure
    Ovary*
    Filmy 1 2 4
    Dense 4 8 16
    Uterine tube*
    Filmy 1 2 4
    Dense 4# 8# 16
    KLASIFIKASI

    Scoring : Stage 1 disease (minimal) = 1-5, stage


    2 (mild) = 6-15, stage 3 (moderate) = 16-40,
    stage 4 (severe) = more than 40.
    *Each ovary and uterine tube is scored
    separately.
    #If the fimbriated end of the tube is completely
    enclosed, the score is 16
    TERAPI

    • KAUTER
    KONSERVATIF
    • EKSISI

    • HISTEREKTOMI - BSO
    MEDIKA MENTOSA

    • SUPRESI ESTROGEN
    - PIL KB – 6 BULAN
    - AGONIS GnRH / AZOL
    - DEPOPROVERA
    ADENOMIOSIS

    • ENDOMETRIOSIS  MIOMETRIUM 
    MIOMA
    • INSIDEN 15%
    • DISMENOREA + MENORARGEA DOMINAN
    • TX  - HISTEREKTROMI
    - DEKAT MENOPOUSE ->TUNGGU
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