Clinical Case Database / Category: Patient Management


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)


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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Dr Sarah Solangon MBBS, BSc (Hons)

Foundation Year 2 Doctor
Guy's and St Thomas' Hospital
Westminster Bridge Road, London, SE1 7EH

Mr George Goumalatsos, MRCOG

Senior Registrar in Obstetrics and Gynaecology
Tunbridge Wells Hospital, Tonbridge Road
Pembury, Kent, TN2 4QJ

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


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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