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University of Oklahoma Health Sciences Center

Diagnosis and management of endometriosis

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Author/s: 
Allaire, Catherine, Bedaiwy, Mohamed, Yong, Paul
Date Added: 
March 19, 2023
Journal/Publication: 
CMAJ
Publisher: 
Canadian Medical Association
Publication Date: 
March 14, 2023
Issue: 
10
Volume: 
195
Pages: 
E363-E371
Type: 
Meta-analyses, Reviews, and Guidelines
DOI (1): 
10.1503/cmaj.220637
PMID (1): 
36918177

RPR Commentary

A concise summary of what we know about endometriosis. James W. Mold, MD, MPH

Abstract

Endometriosis is a chronic condition defined by the presence of endometrial-like tissue outside of the uterus, which can lead to estrogen-driven inflammation. The extent of disease can be highly variable, ranging from minimal peritoneal deposits to deep disease that can invade into the bowel, bladder and ureter and, more rarely, spread to extrapelvic (e.g., cutaneous, thoracic) sites. Endometriosis is a complex disease that has considerable impact on the quality of life of those affected and that has no cure. It remains poorly understood. We review the epidemiology, pathophysiology, diagnosis and management of endometriosis, based on the best available evidence and clinical guidelines

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