Endometriosis


Endometriosis is a condition where endometrial tissue, normally found in the uterus, is found elsewhere in the pelvic region.  Endometriosis is an underdiagnosed and undertreated problem.  

 

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It is estimated that 1 in every 10 women have endometriosis during their reproductive years1, and about 1 in 5 teenagers have the disease2. There is a significant delay – between 7 to 12 years – in the diagnosis of endometriosis, from the time of onset of symptoms suggestive of endometriosis to the gold standard surgical diagnosis3,4.

The problem is that endometriosis not only causes pelvic pain but also negatively affects fertility, can progress over time5,6, and often pain is the only herald of the disease.

The restorative approach to this prevalent disease is not to mask the disease with hormonal suppression or birth control pills, but to destroy it or remove it completely.  Studies have shown that excision in expert hands has the potential to eradicate the disease and thereby to improve quality of life7 and preserve fertility.

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1.         Rogers PA, D’Hooghe TM, Fazleabas A, et al. Priorities for endometriosis research: recommendations from an international consensus workshop. Reprod Sci 2009;16:335-46.

2.         Goldstein DP, De Cholnoky C, Emans SJ. Adolescent endometriosis. J Adolesc Health Care 1980;1:37-41.

3.         Nnoaham KE, Hummelshoj L, Webster P, et al. Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril 2011;96:366-73 e8.

4.         Hadfield R, Mardon H, Barlow D, Kennedy S. Delay in the diagnosis of endometriosis: a survey of women from the USA and the UK. Human Reproduction 1996;11:878-80.

5.         Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 1991;55:759-65.

6.         ACOG Committee Opinion. Number 310, April 2005. Endometriosis in adolescents. Obstet Gynecol 2005;105:921-7.

7.         Yeung P, Jr., Sinervo K, Winer W, Albee RB, Jr. Complete laparoscopic excision of endometriosis in teenagers: is postoperative hormonal suppression necessary? Fertility and Sterility 2011.

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