BACKGROUND The association between lesion type, disease stage and severity of pain was studied in a large group of women with endometriosis to verify whether endometrial implants at different sites determine specific complaints and to evaluate the validity of the current classification system in women with symptomatic disease. METHODS A total of 1054 consecutive women with endometriosis under...

Introduction: Portable ultrasound is extensively used in the delivery suite, and there is anecdotal evidence that ultrasound is increasingly common in routine outpatient gynaecological practice. We could find no published data regarding the prevalence of 'rooms' ultrasound use in outpatient gynaecology. Methods: A survey instrument was developed containing demographic questions about 'rooms' ul...

Arachidonic acid is converted by mammalian enzymes to a variety of oxygenated metabolites which include prostaglandins, thromboxanes and leukotrienes (collectively called eicosanoids). These products may contribute to the pathogenesis of several conditions including inflammation, asthma, thrombotic disease, Bartter's syndrome, dysmenorrhoea, threatened abortion, premature labour and cancer. In ...

The authors provide a very detailed review on the prevalence of dysmenorrhoea, dyspareunia and chronic pelvic pain (CPP) world-wide, which shows importantly the extent of these problems in women. However, I have some major reservations with the way in which the results were generated, analysed, and interpreted. Note that I have had to deduce which studies were referred to by the numbered refere...

Intrauterine contraceptive device (IUCD) is currently one of the most popular reversible contraception method used world wide. Since its introduction, many complications have been reported with IUCD which include dysmenorrhoea, menorrhagia, pelvic infection, pregnancy, uterine perforation and migration into adjacent organs [1]. Migration of the IUCD into the bladder has been rarely reported in ...

STUDY QUESTION Is it possible to detect associated deep infiltrating endometriosis (DIE) before surgery for patients operated on for endometriomas using a preoperative clinical symptoms questionnaire? SUMMARY ANSWER A diagnostic score of DIE associated with endometriomas using four clinical symptoms defined a high-risk group where the probability of DIE was 88% and a low-risk group with a 10%...