Low urgency
Common-
Presence of the tissue that lines the uterus or endometrium, outside of the uterine cavity. It may grow in ovaries, fallopian tubes, bladder and intestines.
The cause is unknown although it has a hereditary component.
The disease presents abdominal and/or pelvic pain, very profuse bleeding during the menstruation and pain during sexual intercourse.
The diagnosis is clinical established through a questioning and a physical examination. It is confirmed through an ultrasound or cystoscopy with bladder biopsy.
Treatment includes analgesia and hormonal contraceptives, as well as surgery in more severe or refractory cases.
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- Robert S Schenken, MD. Endometriosis: Pathogenesis, clinical features, and diagnosis. UpToDate. Jan 13, 2017.
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- Johnson NP, Hummelshoj L, Adamson GD, et al. World Endometriosis Society consensus on the classification of endometriosis. Hum Reprod 2017;32(2):315-24.
- Agarwal SK, Chapron C, Giudice LC, et al. Clinical diagnosis of endometriosis: a call to action. Am J Obstet Gynecol 2019(4):354-64.
Dr. Oscar Garcia-Esquirol
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