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- W2486995642 abstract "This chapter discusses endometriosis and adenomyosis. Endometriosis is a condition in which endometrium-like tissue is present in sites outside the uterus. Adenomyosis is a condition in which endometrium-like tissue is present in the myometrium. Endometriosis can arise by local, vascular, and lymphatic spread in almost any organ in the body, especially the bowel, urinary tract and lung, and by direct implantation into a wound, such as a laparotomy incision or episiotomy. The natural history of endometriosis is uncertain as few studies have involved repeat laparoscopy in untreated women with endometriosis. However, it appears that endometriosis is not invariably progressive. Many women with endometriosis are asymptomatic, and when pain occurs, its severity is not directly correlated with the extent of the endometriosis. Symptoms similar to those complained of by women with endometriosis frequently occur in women in whom no abnormality is found at laparoscopy. The chapter also discusses the association between endometriosis and subfertility. Deep dyspareunia occurs particularly if there are endometriotic deposits in the uterosacral ligaments or in the pouch of Douglas, so that the ovaries are trapped in the pouch of Douglas and the uterus is held in a fixed retro version. Dysmenorrhea associated with endometriosis typically starts as a low backache before the onset of menstruation and may continue with lower abdominal discomfort throughout the period. Rectal and bladder symptoms are uncommon." @default.
- W2486995642 created "2016-08-23" @default.
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- W2486995642 date "1991-01-01" @default.
- W2486995642 modified "2023-09-25" @default.
- W2486995642 title "Endometriosis and adenomyosis" @default.
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- W2486995642 doi "https://doi.org/10.1016/b978-0-7506-1171-8.50013-1" @default.
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