Differential Diagnosis of Endometriosis

 DIFFERENTIAL DIAGNOSIS

Depending on the symptoms, the differential diagnosis will change. In patients with chronic abdominal pain, diagnoses such as chronic pelvic inflammatory disease, pelvic adhe-sions, gastrointestinal dysfunction, and other etiologies of chronic pelvic pain should be considered. In patients with dysmenorrhea, both primary dysmenorrhea and secondary dysmenorrhea should be considered. In patients with dys-pareunia, differential diagnoses include chronic pelvic inflammatory disease, ovarian cysts, and symptomatic uter-ine retroversion. Sudden abdominal pain may be caused by a ruptured endometrioma as well as by ectopic pregnancy, acute pelvic inflammatory disease, adnexal torsion, and rupture of a corpus luteum cyst or ovarian neoplasm.

Comments

Post a Comment

Popular posts from this blog

Tubal Ectopic Pregnancy: Management

Image
  MANAGEMENT   Management may be either surgical or medical, depending on a variety of factors. Surgery may be minimal or extensive, depending on the gestational age of the pregnancy and other factors. Due to the inherent risks of each, medical therapy is preferred over surgery in appropriate patients.   Medical Management  Methotrexate is the medical treat-ment usually used as an alternative to surgical therapy. Methotrexate is a folic acid antagonist that competi-tively inhibits the binding of dihydrofolic acid to dihydro-folate reductase, which in turn reduces the amount of active intracellular metabolite, folinic acid.   The best candidate for medical therapy is the woman who is asymptomatic, motivated, and who has resources to be compliant with follow-up. Relative and absolute contraindications for medical management are listed in Box 13.1.   Factors that can be assessed in predicting the success of medical therapy include initial  β -hCG level, s...
Read more

Sexual Dysfunction

Image
  SEXUAL DYSFUNCTION   There is uncertainty as to what exactly constitutes a sexual disorder. The definition of “sexual disorder” is made more complex because what is considered “disordered” varies with time and culture. The World Health Organization’s  International Statistical Classification of Diseases and Related Problems  (ICD-10) suggests that sexual dysfunctions are“the various ways in which an individual is unable to partic-ipate in a sexual relationship the way he or she would wish.” Table 47.1 lists the categories of sexual dysfunction as rec-ognized by both the  Diagnostic and Statistical Manual ofMental Disorders: DSM-IV-TR,  which limits its definitions tomental disorders, and the 1998 consensus committee spon-sored by the American Foundation of Urological Disease, which is also limited insofar as it conceptualizes sexual response in women as discrete linear experiences, as in the formerly accepted model of female sexual response already discus...
Read more