Endometriosis

[object Object],[object Object]

Endometriosis! ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pathogenesis ,[object Object],[object Object],[object Object],Retrograde menstruation

Investigation ,[object Object],[object Object],[object Object],[object Object]

Stages of Endometriosis ,[object Object],[object Object],[object Object]

Stages of Endometriosis ,[object Object],[object Object],[object Object],[object Object]

Classification of Endometriosis ( Modified American Fertility Society System) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Classification of Endometriosis 16 8* 4 * Dense 4 2 1 L Filmy 16 8* 4 * Dense 4 2 1 R Filmy Tube 16 8 4 Dense 4 2 1 L Filmy 16 8 4 Dense 4 2 1 R Filmy >2/3enclosure 1/3-2/3 enclosure < 1/3 enclosure Adhesions Ovary

Classification of Endometriosis 20 16 4 Deep 4 40 partial complete posterior cul de sac obliteration 20 16 4 Deep 4 2 1 L Superficial 4 2 1 R Superficial Ovary 6 4 2 Deep 4 2 1 Superficial >3cm 1-3 cm < 1CM Endometriosis Peritoneum

Endometriosis Symptoms ,[object Object],[object Object],[object Object]

The most common symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Symptoms relate to endometriosis site ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms relate to endometriosis site

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Symptoms relate to endometriosis site

Symptoms relate to endometriosis site ,[object Object],[object Object],[object Object],[object Object],[object Object]

Differential diagnosis by symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential diagnosis by symptoms ,[object Object],[object Object],[object Object]

Differential diagnosis by symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment options for Endometriosis There are general points which should be taken into consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment options ,[object Object],[object Object],[object Object],[object Object]

Drugs Commonly used ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GnRH agonists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GnRH antagonist ,[object Object],[object Object],[object Object]

S urgery ,[object Object],[object Object]

Surgical Treatment Laparoscopic excision of nodular endometrial lesions overlying the rectum Nodular endometrial lesions in the posterior cul-de-sac.

Surgical vs. Medical Treatment of Endometriosis Effective for pain relief Unlikely to improve fertility Empiric treatment Adverse effects common Decreased initial cost Medical Option for definitive treatment Definitive diagnosis Invasive Possibly better long-term results Expensive Beneficial for infertility Surgical Disadvantages Advantages Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],Medical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Surgical Disadvantages A dvantages Treatment

Recurrence Rates ,[object Object],[object Object],[object Object]

Endometriosis

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Endometriosis