A Practical Guide to the Clinical Evaluation of Endometriosis-Associated Pelvic Pain

被引：16

作者：

Vilasagar, Smitha ^{[1
]}

Bougie, Olga ^{[2
]}

Singh, Sukhbir Sony ^{[3
,4
]}

机构：

[1] Atrium Hlth, Dept Obstet & Gynecol, Charlotte, NC USA

[2] Queens Univ, Dept Obstet & Gynaecol, Kingston, ON, Canada

[3] Ottawa Hosp, Dept Obstet & Gynecol, Ottawa, ON, Canada

[4] Ottawa Hosp Res Inst, Ottawa, ON, Canada

来源：

JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY | 2020年 / 27卷 / 02期

关键词：

Endometriosis; Endometriosis biomarkers; Endometriosis diagnosis; Endometriosis imaging; Pelvic pain; DEEPLY INFILTRATING ENDOMETRIOSIS; TRANSVAGINAL ULTRASOUND; CENTRAL SENSITIZATION; DIAGNOSTIC-ACCURACY; VULVAR PAIN; WOMEN; MANAGEMENT; CANCER; PREVALENCE; MECHANISMS;

D O I：

10.1016/j.jmig.2019.10.012

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Endometriosis-associated pain (EAP) has a significant impact on the quality of life of those affected and their families. Recognizing that endometriosis is a chronic condition associated with an impairment in function and negative social impact, there is a shift toward reducing diagnostic delays and initiating timely management. This article provides a comprehensive and practical approach to the clinical diagnosis of EAP, which can subsequently facilitate prompt and directed treatment. The key components of the history, physical examination, and high-quality imaging to evaluate suspected EAP and related pain conditions are presented. Currently, biomarkers have limited utility in the diagnosis of endometriosis, but research in this area continues; development of a reliable noninvasive test for endometriosis may further improve early identification of this condition. (C) 2019 AAGL. All rights reserved.

引用

页码：270 / 279

页数：10