OBJECTIVE The purpose is to assess current medical practice in the diagnosis of endometriosis by Brazilian gynecologists. METHODS A Cross-sectional study using questionnaires was sent to all gynecologists of the São Paulo State Ob/Gyn Association. RESULTS A total of 1,660 (31.8%) replies was received. Multiple logistic regression showed that physicians who stated that endometriosis can affe...

BACKGROUND Chronic pelvic pain (CPP) is a significant public health problem with 1 million affected women in the UK. Although many pathologies are associated with CPP, the pain experienced is often disproportionate to the extent of disease identified and frequently no pathology is found (chronic pelvic pain syndrome). The central nervous system (CNS) is central to the experience of pain and chr...

Endometriosis is the leading cause of female pelvic pain and infertility and affects approximately 10% of women. Lesions involve the urinary tract in up to 6% of cases with ureteral involvement in a smaller subset of .08% to 1%. Multiple authors describe open and laparoscopic approaches to management of ureteral endometriosis; however, this report describes 2 cases of ureteral obstruction secon...

40 OBG Management | May 2015 | Vol. 27 No. 5 obgmanagement.com CASE Resurgent, worsening dysmenorrhea A 32-year-old woman (G2P2) with a history of 2 spontaneous vaginal deliveries presents to your office after 10 months of severe, worsening dysmenorrhea. Shortly after she developed severe dysmenorrhea, she began to experience daily pain in her lower abdomen and pelvis. This pain occurred in the...

Chronic pelvic pain is a complicated syndrome comprised of different types of pain, including dysmenorrhea, deep dyspareunia, and intermenstrual pain, which can make interpretation difficult. Therefore, investigation of this complex syndrome requires very careful consideration. Accumulating data from several randomized studies, we have now come to realize that LUNA can be an option in a few cir...

Backgound Endometriosis is one of the commonest benign gynaecological disorders and has a peak incidence between 30 and 45 years of age. Treatment options are medical or surgical, depending on the location and extent of the disease and the woman’s childbearing aspirations or need for contraception. Over the past five decades several formulations of progestogen have been used to treat endometrio...

BACKGROUND Endometriosis is one of the commonest benign gynaecological disorders and has a peak incidence between 30 and 45 years of age. Treatment options are medical or surgical, depending on the location and extent of the disease and the woman's childbearing aspirations or need for contraception. Over the past five decades several formulations of progestogen have been used to treat endometri...

Objective To determine, from the best available evidence, the effectiveness of surgical pelvic neuroablative techniques as treatment for primary and secondary dysmenorrhoea. Design Systematic review of randomized controlled trials (RCTs). Subjects Women with primary or secondary dysmenorrhoea. Interventions Surgical neuroablative techniques including uterine nerve ablation and presacral neurect...

Endometriosis-associated massive haemorrhagic ascites is rare and poses a diagnostic challenge to the gynaecologist due its resemblance malignancies, especially ovarian malignancy. We report 31-year-old nulligravida with progressive abdominal swelling, worsening dysmenorrhea, weight loss family history of tumour. Pelvic ultrasonography Computed Tomography scans suggested an mass suspected be Ex...