BMJ Best Practice Podcast Endometriosis: an update on diagnosis and management
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Jul 26, 2023 Learn about endometriosis, its typical presentation, and potential causes. Explore diagnostic methods and treatment options, including hormonal management and surgery. Discover recent advances in management and the role of neuro-pelviology. Discuss complications, surgical considerations, and long-term impacts of endometriosis, emphasizing holistic support and early treatment.
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Endometriosis Is Heterogeneous
- Endometriosis is an inflammatory disorder where endometrial tissue grows outside the uterus and causes varied symptoms.
- Multiple mechanisms likely exist, so presentations and severity differ between individuals.
Take Severe Period Pain Seriously Early
- Recognize persistent or worsening dysmenorrhea in adolescents as concerning rather than normal "growing pains."
- Escalate evaluation if cramps fail to improve with first-line treatment or start to disrupt school or daily life.
Use Targeted Pelvic Exam First
- Perform focused pelvic exam looking for localized tenderness, retroverted or immobile uterus, and adnexal masses.
- Use exam findings to guide imaging and differential diagnosis, including pelvic floor dysfunction.