Clinical Case Database / Category: Patient Management

Endometriosis

Publication details

Dr Sarah Solangon MBBS, BSc (Hons), Mr George Goumalatsos, MRCOG, Professor Janice Rymer MD, FRCOG, FRANZCOG, FHEA
Foundation Years Journal, volume 8, issue 9, p.24 (123Doc Education, London, October 2014)

Abstract

Dysmenorrhoea and dyspareunia are common symptoms in gynaecology, endometriosis being high on your differential list. Often diagnosed months to years after the onset of symptoms, endometriosis can be difficult to manage, particularly when involving organs such as bowel or urinary tract and distressing as a cause of infertility. Despite various staging systems, the extent of the disease does not correlate well with pain. In this article we discuss the different management options based on the most updated evidence and reviews. Management of endometriosis must be patient-centred and often involves long-term follow up and trials of various treatments. Reassurance and good communication skills are of utmost importance.

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Authors

Dr Sarah Solangon MBBS, BSc (Hons)

Foundation Year 2 Doctor
Guy's and St Thomas' Hospital
Westminster Bridge Road, London, SE1 7EH
anniesolangon@doctors.org.uk

Mr George Goumalatsos, MRCOG

Senior Registrar in Obstetrics and Gynaecology
Tunbridge Wells Hospital, Tonbridge Road
Pembury, Kent, TN2 4QJ
goumalatsos@me.com

Professor Janice Rymer MD, FRCOG, FRANZCOG, FHEA

Dean of Student Affairs and Lead for Twinned Institutions
Professor of Gynaecology, King's College School of Medicine, London
janice.rymer@kcl.ac.uk

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