ABSTRACT
Symptomatology of endometriosis
Endometriosis is relatively common among women. It is also difficult to diagnose in view of a considerable diversity of clinical manifestations. Dysmenorrhoea, dyspareunia, hypogastric pain and low back pain are the most common manifestations produced by foci of endometriosis in the minor pelvis. However, symptom intensity does not always correlate with pathological stage. Endometriosis is seldom asymptomatic, and pain of various intensity is reported by approximately 96% of patients. It is estimated that endometriosis affects 6-10% of sexually mature women. An important factor in diagnostic work-up is appropriate history taking. A characteristic symptom is pain that increases gradually before the expected time of menstrual bleeding. The differential should include other reproductive pathologies, such as uterine myomas, adenomyosis, pelvic inflammatory disease (PID), adhesions in the minor pelvis and ovarian tumours and cysts. Most manifestations of endometriosis considerably reduce the patient’s quality of life by affecting mobility and professional activity and necessitating drug therapy and, sometimes, hospitalisation. Endometriosis is a challenge for both doctors and patients. Hence, early correct diagnosis followed by the institution of appropriate treatment is crucial to reducing the negative consequences, both personal and socio-economic, of this condition.
Zalecane piśmiennictwo
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