[Diagnosis and follow-up of endometriosis during consultation: changes].
In a literature review, news in symptomatology and follow-up of endometriosis were analyzed (infertility, pain, hemorrhage, adnexal tumors). Survey and examination can be made with improved quality (pain scale, menorragha scheme of Higham). Diagnosis and follow-up of endometriosis are more perfect by ultrasonographical examination by the gynecologist in his office. Ultrasonography is better for endometrioma and adenomyosis than other localisation (complementary explorations-magnetic resonance imaging, outside of consultation, are useful for deeper and superficial lesions). In follow-up, clinical research and ultrasonic exploration show the true relapses. Treatment's observance and success will be improved by ultrasonic analysis. Intolerances, add-back therapy, contraception, substitutive hormonal treatment of menopauses and cancer risk, are different problem and solution will be offer.
Salvat
J
J
Service de gynécologie obstétrique, site G. Pianta, hôpitaux du Léman, 74203 Thonon, France.
D004715:Endometriosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D005833:Genital Neoplasms, Female / Q000209:etiology; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D016239:MEDLINE; D008279:Magnetic Resonance Imaging; D008595:Menorrhagia / Q000209:etiology; D010146:Pain; D012017:Referral and Consultation; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology