Endometriosis

ENDOMETRIOSIS www.freelivedoctor.com

FIRST – A FEW QUESTIONS! ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

I DON’T HAVE THE ANSWERS ,[object Object],[object Object],[object Object],www.freelivedoctor.com

HOWEVER---- ,[object Object],[object Object],[object Object],www.freelivedoctor.com

AND ALSO--------- ,[object Object],[object Object],[object Object],www.freelivedoctor.com

PREVALENCE ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Familial association ,[object Object],[object Object],www.freelivedoctor.com

Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

symptoms ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

Infertility mechanisms www.freelivedoctor.com Adhesions distorsion Increased PGs Cell mediated gamete inj Defective folliculogenisis Chronic salpingitis Activated macrophag Increased prev. ABs LUFFS Altered tubal motil Cytokines Fertilization failure hyperprolactinaemia Impaired oocyte pick up Sperm phagocytosed Early spon abortion Luteal phase deficency

Treatment of pain ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

treatment of menstrual pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

ENDOMETRIOSIS PAIN ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

LIMITATIONS OF DRUG THERAPY ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

META-ANALYSIS MIN/MILD ENDOMETRIOSIS www.freelivedoctor.com PREG RATE n FOLLOW-UP NO TREAT 44% 235 0.5-3 DRUG THERAPY 41% 418 1- 5 SURGERY 65% 912 1 - 6 IVF 20 257

Endometriosis

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Endometriosis