JAMA Clinical Reviews Diagnosis and Treatment of Endometriosis
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May 5, 2025 In this engaging discussion, Sawsan As-Sanie, a Professor of obstetrics and gynecology at the University of Michigan and endometriosis expert, addresses the complex world of this painful condition affecting many women. She explains how endometriosis is often misdiagnosed and emphasizes the significance of timely, symptom-based diagnosis. The podcast dives into the latest imaging techniques, treatment options, and the condition's systemic implications, highlighting the importance of tailored management for improved outcomes.
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Endometriosis Prevalence and Scope
- Endometriosis causes uterine-like tissue outside the uterus, affecting multiple organs.
- It affects about 10% of reproductive-age women and up to 50% in women with infertility or pelvic pain.
Primary Care Diagnosis Approach
- Ask patients about painful periods disrupting daily life to suspect endometriosis.
- Differentiate from other causes like fibroids, IBS, bladder pain, and myofascial pain disorders.
Shift to Clinical Diagnosis
- Definitive diagnosis needs surgical visualization, but that delays care.
- Clinical diagnosis with symptoms, exam, and imaging allows earlier medical treatment.