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[Pelvic pain and endometriosis]
P Lopes1, A Mensier, F X Laurent
1Service de Gynécologie-Obstétrique A, Hôpital Femmes-Enfants, CHU, Nantes.
Revue Francaise De Gynecologie Et D'Obstetrique
|February 1, 1995
Summary
Endometriosis involves uterine tissue growing outside the uterus, causing pain, especially when deeply infiltrating. Treatment options include surgery and hormone therapy.
Area of Science:
- Gynecology
- Reproductive Medicine
- Surgical Science
Context:
- Endometriosis is characterized by ectopic endometrial-like tissue.
- This tissue responds to hormonal fluctuations, leading to symptoms.
- Deeply infiltrating endometriosis (DIE) significantly impacts women's health.
Purpose:
- To review current understanding and treatment of endometriosis.
- To highlight the correlation between lesion depth and pain severity.
- To discuss the roles of surgical and hormonal interventions.
Summary:
- Endometriosis presents as endometrial tissue outside the uterine cavity, comprising glands and stroma.
- Ectopic tissue undergoes hormonal changes, including growth and withdrawal bleeding.
- Pain severity correlates with endometriosis lesion depth, with DIE affecting 6-20% of women with pelvic pain.
Impact:
- Provides an overview of endometriosis management strategies.
- Emphasizes the clinical significance of deeply infiltrating endometriosis.
- Informs clinical practice regarding surgical and hormonal treatments for endometriosis.