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Endometriosis
Pathogenesis • Ectopic implantation of endometrial glands
Clinical
features
• Dyspareunia
• Dysmenorrhea
• Chronic pelvic pain
• Infertility
• Dyschezia
• Cyclic dysuria, hematuria
Physical
examination
• Immobile uterus
• Cervical motion tenderness
• Adnexal mass
• Rectovaginal septum, posterior cul-de-sac,
uterosacral ligament nodules
Diagnosis • Direct visualization & surgical biopsy
Treatment
• Medical (oral contraceptives, NSAIDs)
• Surgical resection

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Endometriosis HY

  • 1. Endometriosis Pathogenesis • Ectopic implantation of endometrial glands Clinical features • Dyspareunia • Dysmenorrhea • Chronic pelvic pain • Infertility • Dyschezia • Cyclic dysuria, hematuria Physical examination • Immobile uterus • Cervical motion tenderness • Adnexal mass • Rectovaginal septum, posterior cul-de-sac, uterosacral ligament nodules Diagnosis • Direct visualization & surgical biopsy Treatment • Medical (oral contraceptives, NSAIDs) • Surgical resection