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Diagnosis & Therapy

Navigating clinical dilemmas

Diagnosis & Therapy: Table of Contents
Select an article below to read more.

Endometriosis associated with modest increase in ovarian cancer risk

A 15-year national Finnish study looking at over 800,00 person years in women with endometriosis found that ovarian endometriosis more than doubled the relative risk for ovarian cancer, but that the absolute excess risk of ovarian cancer in the cohort was “quite small. Read our summary of the article and watch a video with Justin Chura, MD, a gynecologic oncologist who puts this new research in perspective.

Modern surgical techniques for gastrointestinal endometriosis

Diagnosis & Therapy Modern surgical techniques for gastrointestinal endometriosis   Modern surgical techniques for gastrointestinal endometriosis Current operative techniques for extragenital endometriosis can provide excellent outcomes with less risk for...

The push is on to recognize endometriosis in adolescents

The push is on to recognize endometriosis in adolescents   Treatment of endometriosis is rife with dilemmas, controversies, and shortcomings.  Christine Kilgore Meg Hayden, RN, a school nurse in Oxford, Miss., used to be a labor and delivery nurse and considers...

Deep infiltrating endometriosis: Evaluation and management

Deep infiltrating endometriosis: Evaluation and management Deep endometriosis is successfully diagnosed with clinical signs and symptoms and specific MRI or TVUS protocols, and treatment options are available to relieve pain and optimize outcomes Roseanne M. Kho, MD,...

Endometriosis and infertility: The knowns and unknowns

Endometriosis and infertility: The knowns and unknowns These experts spotlight an international consensus on endometriosis-associated infertility BY G. DAVID ADAMSON, MD AND MARY E. ABUSIEF, MD Endometriosis is defined as “a disease characterized by the presence of...

From bench to bottle: Toward precision medicine in endometriosis

From bench to bottle: Toward precision medicine in endometriosis Endometriosis researchers are coming closer to “stratified medicine,” but truly targeted treatments are lacking. BY KARI OAKES By the time an endometriosis patient is diagnosed, she’s ready for the...

A single surgery for diaphragmatic and pelvic endometriosis

A single surgery for diaphragmatic and pelvic endometriosis Dr. Ceana Nezhat describes how surgeons can perform a video-assisted combined laparoscopy and thoracoscopy. TEXT BY CHRISTINE KILGORE An estimated 12% of extrapelvic endometriosis involves the diaphragm or...

The pendulum swings on hysterectomy

The pendulum swings on hysterectomy For select women with endometriosis, hysterectomy may provide the best relief from symptoms when combined with other treatments. TEXT BY KARI OAKES VIDEO BY M. ALEXANDER OTTO Hysterectomy, long the mainstay of endometriosis...

Is the future of endometriosis diagnosis image-based?

Is the future of endometriosis diagnosis image-based? It could be possible to treat appropriately presenting patients with certain ultrasonography markers without performing laparoscopy, according to this expert By Lila O’Connor, featuring Steven R. Goldstein, MD The...

PODCAST: New directions in endometriosis care

PODCAST: New directions in endometriosis care BY MARY ELLEN SCHNEIDER The management of women with endometriosis is undergoing a major shift that is attributable both to new understanding of how the disease works and more targeted treatment approaches. In this...

Adolescents and endometriosis: Pearls for management

Adolescents and endometriosis: Pearls for management Early diagnosis, prompt initiation of therapy, and long-term management form the cornerstone for minimizing pain and disease progression and preserving future fertility in this patient population. BY KATHLEEN...

Endometriomas

Endometriomas: Classification and surgical management Understanding the etiology of endometriomas and implementing a more nuanced classification system can aid in the successful management of this common condition. Rebecca C. Falik, MD, MST; Anjie Li, MD; Frances...

Surgical excision of the most severe form of endometriosis

Surgical excision of the most severe form of endometriosis Robot-assisted laparoscopic removal of endometriotic rectovaginal nodule BY Obianuju Sandra Madueke-Laveaux, MD, MPH; Khara M. Simpson, MD; and Arnold Advincula, MD Rectovaginal endometriosis (RVE) is the most...

Crowd sourcing comes to endometriosis

Crowd sourcing comes to endometriosis   A novel research app aims to offer patients and doctors a more nuanced understanding of the disease.   BY JENNIE SMITH The idea of women using mobile applications to track their reproductive health is nothing new. But, a...

Delays in Diagnosis

Why are there delays in the diagnosis of endometriosis? As leaders in women’s health care, we can do much more to improve the timely diagnosis of endometriosis in women with pelvic pain Robert L. Barbieri, MD Endometriosis is a common gynecologic disease....

Infertility in Endometriosis

After surgical treatment for endometriosis, how do you decide between the chance of spontaneous pregnancy vs the need for IVF? BY KATHLEEN KRAFTON, WITH TOMMASO FALCONE, MD For many women, one of the most troublesome aspects of endometriosis is infertility. Although a...

New Drugs and Research

New drugs, research could offer ways to better detect and treat endometriosis Promising biomarkers, increasing use of transvaginal imaging, and more rigorous assessment of pelvic pain are all shifting the field toward earlier diagnosis and individualized management....