UPDATE ON CLINICAL DIAGNOSIS AND MANAGEMENT OF ADENOMYOSIS
To support this idea, there is no consensus on management or guideline for this particular disease in Romania. Because of the particularities of diagnosis and treatment of endometriosis, a lot of patients are diagnosed with a delay of as much as 10 years since the beginning of the symptoms14. MAIN T...
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| creator | Bănacu, Mihail Popescu, Ina Socea, Bogdan Bacalbaşa, Nicolae Bratu, Ovidiu Gabriel Gheorghiu, Diana Claudia Băleanu, Vlad Nedelcuta, Mihaela Nedelcuta, Cristian Manda, Ana Laura Ionescu, Crîngu Antoniu Dimitriu, Mihai |
| description | To support this idea, there is no consensus on management or guideline for this particular disease in Romania. Because of the particularities of diagnosis and treatment of endometriosis, a lot of patients are diagnosed with a delay of as much as 10 years since the beginning of the symptoms14. MAIN TEXT Adenomyosis often coexists with other uterine pathologies like leiomyoma and, especially, deep and superficial peritoneal and ovarian endometriosis. Because of the frequent coexistence with endometriosis, we must always look for peritoneal endometriosis lesions in patients with adenomyosis and vice-versa. For women with mild to severe symptoms and who have future plans for pregnancy, one can either choose no treatment with observation of progression every 6 months, or hormonal treatment - starting with oral combined contraceptives, progestin only pills or a levonorgestrel intrauterine device. Symptoms may vary in intensity and can be heavy menstrual bleeding, dysmenorrhea, chronic pelvic pain, dyspareunia, bloating - all of which can determine a low quality of life, depression, anxiety and infertility. |
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Because of the particularities of diagnosis and treatment of endometriosis, a lot of patients are diagnosed with a delay of as much as 10 years since the beginning of the symptoms14. MAIN TEXT Adenomyosis often coexists with other uterine pathologies like leiomyoma and, especially, deep and superficial peritoneal and ovarian endometriosis. Because of the frequent coexistence with endometriosis, we must always look for peritoneal endometriosis lesions in patients with adenomyosis and vice-versa. For women with mild to severe symptoms and who have future plans for pregnancy, one can either choose no treatment with observation of progression every 6 months, or hormonal treatment - starting with oral combined contraceptives, progestin only pills or a levonorgestrel intrauterine device. Symptoms may vary in intensity and can be heavy menstrual bleeding, dysmenorrhea, chronic pelvic pain, dyspareunia, bloating - all of which can determine a low quality of life, depression, anxiety and infertility.</description><identifier>ISSN: 2247-4455</identifier><identifier>EISSN: 2285-9632</identifier><language>eng</language><publisher>Targu-Jiu: University Constantin Brancusi of Târgu-Jiu</publisher><subject>Anxiety ; Archives & records ; Bleeding ; Chronic illnesses ; Chronic pain ; Coexistence ; Contraceptives ; Diagnosis ; Disease control ; Disorders ; Endometriosis ; Family medical history ; Fibroids ; Gynecology ; Infertility ; Intrauterine devices ; IUD ; Lesions ; Medicine ; Menstruation ; Mental depression ; NMR ; Nuclear magnetic resonance ; Pain ; Patients ; Peritoneum ; Pregnancy ; Progestin ; Quality of life ; Signs and symptoms ; Surgery ; Ultrasonic imaging ; Urogenital system ; Uterus ; Womens health</subject><ispartof>Research and science today, 2019-01, p.20-28</ispartof><rights>2019. 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Because of the particularities of diagnosis and treatment of endometriosis, a lot of patients are diagnosed with a delay of as much as 10 years since the beginning of the symptoms14. MAIN TEXT Adenomyosis often coexists with other uterine pathologies like leiomyoma and, especially, deep and superficial peritoneal and ovarian endometriosis. Because of the frequent coexistence with endometriosis, we must always look for peritoneal endometriosis lesions in patients with adenomyosis and vice-versa. For women with mild to severe symptoms and who have future plans for pregnancy, one can either choose no treatment with observation of progression every 6 months, or hormonal treatment - starting with oral combined contraceptives, progestin only pills or a levonorgestrel intrauterine device. 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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; HeinOnline Law Journal Library |
| subjects | Anxiety Archives & records Bleeding Chronic illnesses Chronic pain Coexistence Contraceptives Diagnosis Disease control Disorders Endometriosis Family medical history Fibroids Gynecology Infertility Intrauterine devices IUD Lesions Medicine Menstruation Mental depression NMR Nuclear magnetic resonance Pain Patients Peritoneum Pregnancy Progestin Quality of life Signs and symptoms Surgery Ultrasonic imaging Urogenital system Uterus Womens health |
| title | UPDATE ON CLINICAL DIAGNOSIS AND MANAGEMENT OF ADENOMYOSIS |
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