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The Curbsiders Internal Medicine Podcast
#436 Endometriosis for the Internist with Dr. Cope & Dr. Green
Apr 22, 2024
Drs. Cope and Green from Mayo Clinic discuss endometriosis, touching on symptoms, imaging, hormonal treatments, surgical options, and pain management. They emphasize the importance of early diagnosis and patient-centered care in managing this complex condition.
01:24:24
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Quick takeaways
- Endometriosis symptoms include dysmenorrhea, pain with intercourse, and fatigue; diagnosis involves ruling out other causes and may require referral for pelvic MRI.
- First-line treatment for endometriosis includes hormonal suppression with contraceptives and NSAIDs; monitoring treatment involves patient-centered goals and education on hormonal therapies.
Deep dives
Definition and Symptoms of Endometriosis
Endometriosis is defined as the presence of endometrium outside the uterus, causing symptoms like dysmenorrhea, pain with intercourse, painful bowel movements, bloating, urinary symptoms, and fatigue. Some patients may have overlapping pain conditions like IBS or myofascial pain.
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