Endometriosis natural history, complications and prognosis: Difference between revisions
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Complications of endometriosis consist of bowel and ureteral obstruction resulting from pelvic adhesions. Rarely, endometriosis can be extraperitoneal and is found in the lungs and CNS. <ref name=WebMD >{{cite web | author = Shawn Daly, MD, Consulting Staff, Catalina Radiology, Tucson, Arizona | title =Endometrioma/Endometriosis| work = | url=http://www.emedicine.com/radio/topic250.htm | year = 2004 | month= Oct 18 | publsiher=WebMD | accessdate=2006-12-19}}</ref> | Complications of endometriosis consist of bowel and ureteral obstruction resulting from pelvic adhesions. Rarely, endometriosis can be extraperitoneal and is found in the lungs and CNS. <ref name=WebMD >{{cite web | author = Shawn Daly, MD, Consulting Staff, Catalina Radiology, Tucson, Arizona | title =Endometrioma/Endometriosis| work = | url=http://www.emedicine.com/radio/topic250.htm | year = 2004 | month= Oct 18 | publsiher=WebMD | accessdate=2006-12-19}}</ref> | ||
===Prognosis=== | ===Prognosis=== | ||
Proper counseling of patients with endometriosis requires attention to several aspects of the disorder. Of primary importance is the initial operative staging of the disease to obtain adequate information on which to base future decisions about therapy. The patient's symptoms and desire for childbearing dictate appropriate therapy. Most patients can be told that they will be able to obtain significant relief from pelvic pain and that treatment will assist them in achieving pregnancy. <ref name=AMN>{{cite web | author = Sanaz Memarzadeh, MD, Kenneth N. Muse, Jr., MD, & Michael D. Fox, MD | title =Endometriosis| work =Differential Diagnosis and Treatment of endometriosis. | url=http://www.health.am/gyneco/endometriosis/ | year = 2006 | month= Sep 21 | publsiher=Armenian Health Network, Health.am | accessdate=2006-12-19}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]
Overview
Natural History, Complications and Prognosis
Natural History
Complications
The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women who have difficulty becoming pregnant have endometriosis.
For pregnancy to occur, an egg must be released from an ovary and travel through the fallopian tube to the uterus (womb), where it can be fertilized by a male's sperm and then attach to the uterine wall to begin development. Endometriosis can produce adhesions that can trap the egg near the ovary. It may inhibit the mobility of the fallopian tube and impair its ability to pick up the egg. In most cases, however, endometriosis probably interferes with conception in more complex ways.
- Internal scarring
- Adhesions
- Pelvic cysts
- Chocolate cysts
- Ruptured cyst
- Infertility - occurs in about 30-40% of cases.
Complications of endometriosis consist of bowel and ureteral obstruction resulting from pelvic adhesions. Rarely, endometriosis can be extraperitoneal and is found in the lungs and CNS. [1]
Prognosis
Proper counseling of patients with endometriosis requires attention to several aspects of the disorder. Of primary importance is the initial operative staging of the disease to obtain adequate information on which to base future decisions about therapy. The patient's symptoms and desire for childbearing dictate appropriate therapy. Most patients can be told that they will be able to obtain significant relief from pelvic pain and that treatment will assist them in achieving pregnancy. [2]
References
- ↑ Shawn Daly, MD, Consulting Staff, Catalina Radiology, Tucson, Arizona (2004). "Endometrioma/Endometriosis". Retrieved 2006-12-19. Unknown parameter
|publsiher=ignored (|publisher=suggested) (help); Unknown parameter|month=ignored (help) - ↑ Sanaz Memarzadeh, MD, Kenneth N. Muse, Jr., MD, & Michael D. Fox, MD (2006). "Endometriosis". Differential Diagnosis and Treatment of endometriosis. Retrieved 2006-12-19. Unknown parameter
|publsiher=ignored (|publisher=suggested) (help); Unknown parameter|month=ignored (help)