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gyanaecology.endometriosis and adenomyosis.(dr.salama)

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The document summarizes endometriosis and adenomyosis. Endometriosis occurs when endometrial tissue grows outside the uterus, most commonly on the ovaries, uterine ligaments and pelvis. It causes pain and infertility. Adenomyosis involves endometrial tissue in the uterine wall. Both can be diagnosed by laparoscopy and treated through drugs or surgery, with hysterectomy providing definitive treatment for severe adenomyosis.

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بسم الله الرحمن الرحيم Endometriosis and Adenomyosis By Dr. Sallama Kamel
Endometriosis is defined as: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
External Endometriosis: ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
3.Vascular and lymphatic spread: ,[object Object],[object Object]
4.Genetic and immunological factors: ,[object Object],[object Object],[object Object]
5.The role of the immune system: ,[object Object],[object Object]
Pathology: ,[object Object],[object Object],[object Object]
 
Ovarian endometriosis
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
- Lesions on or near the external surface of the cervix, vagina, vulva urethra and rectum may cause pain or bleeding with defecation, urination or coitus at any time in the menstrual cycle ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],• Many patients are asymptomatic and have no abnormal findings on examination .
Diagnos is ,[object Object],[object Object]
Laparoscopy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Staging of the disease: ,[object Object],[object Object],[object Object]
 
Endometriosis and infertility: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment modalities available: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object]
2.Hormonal therapy: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Progestational agents: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Danazol: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gonadotropin- releasing hormone agonists (GnRH agonist ). ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
These agents are used for 6 months because of their side effects related to the hypo-estrogenic state including: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical treatment: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
• All these procedures can be performed by laparoscopy or laparotomy. ,[object Object]
Definitive surgery: ,[object Object],[object Object],[object Object],[object Object]
Adenomyosis: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Thank you

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