OVARIAN RESERVE IN PELVIC ENDOMETRIOSIS
Ibrahim Mohamed Ibrahim Ali;
Abstract
Endometriosis is characterized by the presence, outside
the endometrial cavity, of tissue that is morphologically and
biologically similar to normal endometrium. This ectopic
endometrial tissue responds to ovarian hormones undergoing
cyclical changes similar to those seen in eutopic endometrium.
The cyclical bleeding from endometriotic deposits appears to
contribute to the induction of an inflammatory reaction and
fibrous adhesion formation, and in the case of deep ovarian
implants, leads to the formation of endometriomas or
chocolate cysts. The current prevalence of endometriosis is
estimated to be up to 10%.
The main clinical symptoms of endometriosis are
infertility, dysmenorrhoea, dyspareunia, dyschezia and chronic
pelvic pain. The gold standard for diagnosing endometriosis in
the abdomen and pelvis is the visual identification of
characteristic lesions at laparoscopy. During laparoscopy of
the pelvis, a scoring system is often used to assess the severity
of the disease. The most commonly used is the American
Society of Reproductive Medicine system (rASRM score)
which grades endometriosis as minimal (stage 1), mild (stage
2), moderate (stage 3) and severe (stage 4).
Although many hypotheses exist to explain the
condition between
the endometrial cavity, of tissue that is morphologically and
biologically similar to normal endometrium. This ectopic
endometrial tissue responds to ovarian hormones undergoing
cyclical changes similar to those seen in eutopic endometrium.
The cyclical bleeding from endometriotic deposits appears to
contribute to the induction of an inflammatory reaction and
fibrous adhesion formation, and in the case of deep ovarian
implants, leads to the formation of endometriomas or
chocolate cysts. The current prevalence of endometriosis is
estimated to be up to 10%.
The main clinical symptoms of endometriosis are
infertility, dysmenorrhoea, dyspareunia, dyschezia and chronic
pelvic pain. The gold standard for diagnosing endometriosis in
the abdomen and pelvis is the visual identification of
characteristic lesions at laparoscopy. During laparoscopy of
the pelvis, a scoring system is often used to assess the severity
of the disease. The most commonly used is the American
Society of Reproductive Medicine system (rASRM score)
which grades endometriosis as minimal (stage 1), mild (stage
2), moderate (stage 3) and severe (stage 4).
Although many hypotheses exist to explain the
condition between
Other data
| Title | OVARIAN RESERVE IN PELVIC ENDOMETRIOSIS | Other Titles | الاحتیاط المبیضي في مرض البطانة الرحمیة المھاجرة بالحوض | Authors | Ibrahim Mohamed Ibrahim Ali | Issue Date | 2012 |
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