[Iatrogenic endometriosis during reproductive age: main issues?]
1IGF1, 35 rue Turenne, Bordeaux, France. audebert@alienor.fr
Gynecologie, Obstetrique & Fertilite
|May 11, 2013
Summary
Iatrogenic endometriosis can arise from medical procedures that increase menstrual flow, such as conization or copper IUDs. Surgical interventions, particularly with hysterotomy, may also lead to endometrial tissue seeding.
Area of Science:
- Gynecology
- Surgical Pathology
Context:
- Endometriotic lesions can be iatrogenic, resulting from medical or surgical interventions.
- Procedures like conization, hydrotubation, and copper intrauterine devices can increase the risk.
- Surgical approaches, including laparotomy and laparoscopy, may facilitate endometrial tissue transport and seeding.
Purpose:
- To review the origins, diagnosis, and treatment of iatrogenic endometriosis.
- To highlight the potential risks associated with various gynecological procedures.
Summary:
- A subset of endometriosis cases are iatrogenic, stemming from medical activities.
- Increased menstrual or retrograde flow from procedures like conization or IUD insertion poses a risk.
- Surgical procedures, especially those involving hysterotomy, can lead to cutaneous seeding of endometrial tissue.
Impact:
- Standardized diagnostic and treatment protocols exist for these lesions.
- Preventive measures are limited and lack thorough evaluation due to the rarity of these cases.
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