RT Book, Section
A1 Hoffman, Barbara L.
A1 Schorge, John O.
A1 Halvorson, Lisa M.
A1 Hamid, Cherine A.
A1 Corton, Marlene M.
A1 Schaffer, Joseph I.
SR Print(0)
ID 1171529177
T1 Endometriosis
T2 Williams Gynecology, 4e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260456868
LK obgyn.mhmedical.com/content.aspx?aid=1171529177
RD 2024/04/25
AB Endometriosis  is  a  common  gynecologic  condition  in  which  endometrial  tissue  is  present  outside  the  uterine  cavity.  Endometrial  tissue  located  within  the  myometrium  is  termed  adenomyosis  and  is  discussed  in  Chapter  9  (p.  213).  With  its  molecular  basis  further  elucidated,  endometriosis  now  is  seen  more  as  a  systemic  disease,  with  the  implants  of  endometriosis  leading  to  an  inflammatory  response.  Although  some  women  with  endometriosis  may  be  asymptomatic,  many  others  present  with  subfertility  or  various  forms  of  chronic  pelvic  pain  (CPP).  Endometriosis  often  strikes  women  during  their  early  career  or  schooling,  and  the  long-term  harm  to  professional  or  social  development  can  be  profound  (Lamvu,  2019).  As  endometriosis  is  an  estrogen-dependent  disease,  hormone-based  treatment  is  a  mainstay  of  therapy.  However,  if  disease  is  unresponsive  to  medical  management,  surgery  may  be  required.