Extensive Endometriosis......symptoms

From: Helen Dynda (olddad66@runestone.net)
Fri May 26 18:42:22 2000


I have called attention to the symptoms of extensive endometriosis by capitalizing words, which describe the symptoms.

EXTENSIVE ENDOMETRIOSIS...by Harry Reich, M.D.

" The major indication for laparoscopic treatment of extensive endometriosis is PELVIC PAIN AND / OR INFERTILITY from deep fibrotic endometriosis causing partial or complete cul-de-sac obliteration. Less frequently encountered symptoms include HYPERMENORRHEA and ASYMPTOMATIC PELVIC MASS. The diagnosis is confirmed either at a primary laparoscopic procedure or is known from another surgeon's operative report. Unfortunately, this diagnosis is sometimes missed at diagnostic laparoscopy, as the surgeon looks for blue-brown lesions instead of WHITE FIBROTIC LESIONS. SYMPTOMATIC ENDOMETRIOSIS GLANDS are always associated with and surrounded by SOME DEGREE OF FIBROSIS CAUSED BY REPETITIVE LONG-STANDING INFLAMMATION. The index of suspicion for cul-de-sac or bowel endometriosis should be high when the patient reports DEEP DYSPAREUNIA ( intercourse ), PAIN RADIATING into THE BACK OR LEG, PAIN WITH BOWEL MOVEMENTS, tenesmus or RECTAL BLEEDING with MENSES."

http://marge.emba.uvm.edu/treich/extensiv.htm


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