Endometriosis and Adenomyosis

Endometriosis is the growth of endometrium outside the uterus. It occurs in 15-30% of premenopausal women, with a prevalence of 2%. Its mean age of presentation is 25-30 years old.

 

 

Causes and Risk Factors

 

Risk factors include:

 

 

 

 

 

Signs, Symptoms, and Diagnosis

 

  • history
  • physical exam
  • lab investigations
  • diagnostic imaging

History

Endometriosis can be asymptomatic, but pain, not correlate with extent of disease, is very common.

Cyclic pain often begins a few days before menstruation and worsens until flow ceases.

Dyspareunia is also often present.

Other symptoms include:

  • secondary dysmenorrhea
  • infertility
  • bleeding between menses
  • backache with menstruation
  • rectal pain
  • rectal bleeding

 

Physical Exam

Lab Investigations

Diagnostic Imaging

 

 

 

 

 

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Pathophysiology

 

 

 

 

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Treatments

 

 

 

 

 

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Consequences and Course

 

 

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Resources and References