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Endometriosis is difficult to diagnose, treat. Doctors share what patients should know about excision, ablation surgeries. Endometriosis is staged like cancer.
For women who are not candidates for surgery, a clinical diagnosis can be made based on the symptoms and levels (follicle-stimulating hormone and estradiol, after bilateral oophorectomy) and/or findings consistent with the presence of residual ovarian tissue. [3] Laparoscopy and histological assessment can aid in diagnosis. [4]
Endometriosis can also impact a woman's fetus or neonate, increasing the risks for congenital malformations, preterm delivery and higher neonatal death rates. [46] Endometriosis can lead to ovarian cysts (endometriomas), adhesions, and damage to the fallopian tubes or ovaries, all of which can interfere with ovulation and fertilization.
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Endometrioma is found in 17–44% patients with endometriosis. [2] More broadly, endometriosis is the presence of tissue similar to, but distinct from, endometrial tissue located outside the uterus. The presence of endometriosis can result in the formation of scar tissue, adhesions and an inflammatory reaction.
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Endometriosis is estimated to occur in 7% to 10% of women, with an associated risk of infertility for between 30% and 50% of this population. [1] [2] [3] Endometriosis is commonly classified under the revised American Society for Reproductive Medicine system from minimal endometriosis to severe endometriosis. The therapy and management of ...
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