Diagnosis and clinical presentation of endometriosis
Article Abstract:
Endometriosis is a gynecological complication that develops when the cells, which normally line the uterus, the endometrial cells, grow and function in other locations in the body. Endometrial tissue has been found in the vagina, ovaries, fallopian tubes, intestines and, more rarely, in the umbilical area, outside the vagina, skin, episiotomy site, lungs, stomach or kidneys. Pelvic pain and pain during menstruation and sex are common symptoms. Pain can also accompany defecation. Menstrual cycles can be irregular and masses of endometrial tissue can be found in the reproductive structures. Infertility is a common initial complaint. The cause of endometriosis is not well understood. Pain or tenderness may be experienced during physical examination of pelvic structures. Diagnosis is made by laparoscopy, a surgical procedure where a tube affixed with a magnifying device is inserted into a small opening in the abdomen to visualize internal structures. During laparoscopic evaluation, endometrial tissue can look like white scars, dark powder burns, strawberries or blueberries. The appearance of the endometrial tissue does not correlate well with the stage of the disease. Even when an experienced practitioner is performing the laparoscopic evaluation, lesions may be difficult to identify. Sometimes a sample of tissue obtained during laparoscopic evaluation (biopsy) must be evaluated to confirm the diagnosis. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1990
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Correlation of thyroid stimulating hormone (TSH) level with pregnancy outcome in women undergoing in vitro fertilization
Article Abstract:
A study to determine if pregnancy outcome for women undergoing in vitro fertilization is correlated with pre-conception thyroid-stimulating hormone level is illustrated. Results reveal that a pre-conception thyroid-stimulating hormone level greater than 2.5 mIU/L is associated with a lower gestational age at delivery and lower birth weight undergoing in vitro fertilization.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2006
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Detection of peritoneal endometriotic lesions by autofluorescence laproscopy
Article Abstract:
The feasibility of autofluorescence laparoscopy in the diagnosis of endometriotic lesions is evaluated. Combination of white light illumination and autofluorescence is markedly superior to white light illumination alone in detecting nonpigmented endometriotic lesions.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2006
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