[Epidemiology and diagnosis strategy: CNGOF-HAS Endometriosis Guidelines]

Area of Science:

• Gynecology and Obstetrics
• Reproductive Medicine

Background:

• Endometriosis is a condition requiring management when symptomatic (pain, infertility) or organ dysfunction occurs.
• Asymptomatic endometriosis does not necessitate screening or follow-up.
• Symptoms include dysmenorrhea, dyspareunia, painful bowel movements, urinary signs, and infertility.

Purpose of the Study:

• To provide evidence-based clinical practice guidelines for endometriosis.
• To outline disease evaluation based on care level (primary, specialized, referral).
• To guide management strategies, including patient information on therapeutic alternatives.

Main Methods:

• Clinical evaluation of symptoms and quality of life impact.
• First-line diagnostic tools: digital examination and pelvic ultrasound.
• Second-line diagnostic tools: expert pelvic exam, MRI, and transvaginal ultrasound.

Main Results:

• Diagnostic laparoscopy is considered for suspected cases where preoperative imaging is inconclusive.
• MRI and ultrasound provide complementary diagnostic information.
• Comprehensive patient counseling on treatment options, risks, recurrence, and fertility is recommended.

Conclusions:

• Guidelines address endometriosis nature, natural history, and evaluation across care levels.
• Management is indicated for symptomatic or organ-dysfunction cases.
• Informed patient consent is crucial, especially before surgical intervention.