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• W3016586310 abstract "L’endométriose est une pathologie gynécologique fréquente affectant 5 à 10 % des femmes en âge de procréer. Les symptômes associés à l’endométriose sont variés et peu spécifiques (dysménorrhées, dyspareunie profonde, douleurs pelviennes chroniques). L’ensemble de ces symptômes peut affecter sévèrement la qualité de vie des femmes tant au niveau social que sociétal. La genèse de la douleur liée à l’endométriose est très complexe, faisant intervenir plusieurs mécanismes : inflammatoire, nociceptif, neuropathique, neurovasculaire, hormonal. Les lésions d’endométriose n’expliquent pas à elles seules la douleur ; leurs localisations, leurs degrés d’infiltration ne sont pas forcément corrélés à la sévérité des douleurs, ce qui rend les profils des patientes hétérogènes et la prise en charge des patientes complexe. La symptomatologie, le type de lésions, la localisation des lésions, l’intensité des douleurs, la qualité de vie et le retentissement social de la symptomatologie doivent être évalués de façon précise pour un diagnostic et une prise en charge optimisée et adaptée de nos patientes. La douleur est multifactorielle, sa prise en charge doit donc être multidisciplinaire (consultations avec des chirurgiens, radiologues et médecins spécialisés…, doivent être associées à des soins de support [activité physique, soutien psychologique] et à des médecines alternatives [kinésithérapie, ostéopathie, acupuncture…]) au risque sinon de n’être que partiellement efficace. Endometriosis is one of the most common gynecological diseases, mainly affecting women of reproductive age (5 to 10%). This disease is characterized by various non-specific symptoms such as dysmenorrhea, dyspareunia, and chronic pelvic pain which have been shown to severely affect a woman's quality of life. The genesis of pain in endometriosis is very complex, several mechanisms such as inflammatory, nociceptive, neuropathic, neurovascular and hormonal mechanisms have been reported to be involved. The profiles of patients with endometriosis are heterogeneous because endometriosis lesions are not the only cause of pain; the localisation, the depth of infiltration of these lesions are not necessarily related to the severity of the symptoms complicating the medical management of patients. For the diagnosis and the effective management of patients with endometriosis, the symptomatology, type of lesion, lesion localization, pain intensity, quality of life, and the social consequences of the symptomatology have to be precisely evaluated. Pain is multifactorial and therefore, its management should be multidisciplinary to be effective (consultations with specialized surgeons, radiologists, should be associated with complementary supportive care treatments [psychological management, exercise] and alternative medicines [kinesitherapy, osteopathy, acupuncture…])." @default.
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• W3016586310 date "2020-02-01" @default.
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• W3016586310 title "Douleurs et endométriose" @default.
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• W3016586310 doi "https://doi.org/10.1016/j.douler.2019.11.001" @default.
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