REMORGIDA , Valentino

A 36-year-old woman presented with a 2-month history of abdominal distention and pain. She reported having dysmenorrhea, dyspareunia, cyclical right shoulder pain (occurring only at the time of menstruation), and umbilical pain. The abdomen was tense and distended, with a purplish umbilical mass (Panel A). Vaginal examination revealed the...

Recently, Gungor et al. published a systematic review of cases of endometriosis-related ascites and/or pleural eVusion. Although the authors should be congratulated for their extensive eVorts, we would like to bring to your attention a case of endometriosis presenting with ascites that we previously described and was not included in the...

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Recent case reports and pilot studies suggested that aromatase inhibitors might be effective in treating pain symptoms related to the presence of endometriosis. We present the case of a 32-year-old woman who suffered dysmenorrhea, dyspareunia, chronic pelvic pain, and dyschezia caused by rectovaginal endometriosis. Pain symptoms recurred after...

Oral contraceptives, androgenic agents, progestins and gonadotropin-releasing hormone analogues have all been successfully used in the treatment of endometriosis. However, none of these drugs can eradicate the disease. It is widely accepted that the growth of newly formed blood vessels is essential for the establishment and growth of...

Purpose of review We critically review the causes and treatments of deep dyspareunia. Recent findings Endometriosis, pelvic congestion syndrome, and interstitial cystitis have been associated with deep dyspareunia. Although medical therapies may improve deep dyspareunia in women with endometriosis, laparoscopic excision of deep endometriotic...

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Importance of the field: Medical therapy is the most commonly used treatment for endometriosis. In particular, the administration of hormonal therapies aims to improve symptoms with minimal adverse effects. Areas covered in this review: Observational and randomized studies evaluating the efficacy of medical therapy on symptoms associated with...

INTRODUCTION: Ectopic endometrial tissue is found in 1.5% to 6.2% of women of reproductive age, in up to 60% of those with dysmenorrhoea, and in up to 30% of women with subfertility, with a peak incidence at around 40 years of age. However, symptoms may not correlate with laparoscopic findings. METHODS AND OUTCOMES: We conducted a systematic...

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Endometriosis is a chronic disease that causes pain and infertility. Combined oral contraceptives and progestins are commonly used for the treatment of endometriosis because they reduce the severity of pain symptoms in 60–70% of patients and are well tolerated. Gonadotropin-releasing hormone analogs and danazol may be administered to selected...

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Introduction: Although various techniques have been proposed for the diagnosis of bowel endometriosis, no gold standard is currently available. The objective of this study is to compare the effectiveness of magnetic resonance imaging (MRI) and multidetector computerized tomography enteroclysis (MDCTe) in determining the presence of bowel...

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