gynecology_1.3_endometriosis

investigations

history

physical examination

management

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definition

differential diagnosis

(hormone-dependent)

retrograde menstruation: old blood (chocolate cyst)

inflammation: fibrosis

endometrium outside uterus (peritoneum, ovary: endometrioma, pulmonary, umbilical)

retrograde menstruation

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infertility

ovarian cyst

chronic pain (lower back pain, iliac fossa)

dyspareunia

secondary dysmenorrhea

expectant management

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transabdomainl/transvaginal USG (endometrioma)

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medical (v fertiltiy)

diagnostic laparoscopy

surgical (x fertility)

NSAIDs

combined oral contraceptive pills (Danazol: androgen)

TAHBSO

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secondary/type B

primary/type A

😢 no

😢 yes

😢 no

😢 yes

mensis increase

years later

since menarche

before mensis, mensis decrease

help

onset

nature

daily life

simple analgesic

oral contraceptive

seldom

pain between cycles

😢 yes

seldom

dyspareunia

seldom

bowel symptoms

fibroid

adenomyosis

endometriosis

(pelvic congestive syndrome)