Endometriosis in routine practice: analysis of clinical cases


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Abstract

Endometriosis is a disease in which the tissue grows, in its morphological and functional properties similarly to that of the endometrium, outside the uterine cavity. The formation of ectopic endometrial foci causes chronic pelvic pain and/or infertility. Practicing gynecologists are puzzled by the prevalence of endometriosis and the unresolved issues of its etiology, pathogenesis, diagnosis, and treatment. Patients diagnosed with endometriosis need monitoring and constant therapy even after radical treatments throughout their lives. Currently, there is no unified method for the treatment of endometriosis; each case must be considered individually, based on the characteristics of its clinical course and on the age and reproductive potential of a woman. The presented materials highlight various cases of the course of endometriosis and the treatment policy applicable to each particular patient. This clinical material is relevant for the discussion of controversial, unresolved issues of endometriosis. Conclusion: The described cases once again emphasize the need to choose surgical treatment at the right time and in full, preferably once in a lifetime. In addition, it is extremely important to choose drug for postoperative therapy, its duration in terms of preventing recurrent endometriosis.

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About the authors

Svetlana O. Dubrovina

Rostov State Medical University, Ministry of Health of Russia

Email: s.dubrovina@gmail.com
Professor, Dr. Med. Sci., Chief Researcher, RostSMU, Ministry of Health of Russia, Chief Researcher, Obstetrics and Pediatrics Research Institute

Yulia D. Berlim

Rostov-on-Don City Hospital Six

Email: juliaberlim@yandex.ru
PhD, Deputy Chief Physician for Medical Affairs

Anna D. Aleksandrina

Rostov-on-Don City Emergency Hospital

Email: anna22i2i5@inbox.ru
obstetrician-gynecologist

Marina A. Vovkochina

Rostov State Medical University, Ministry of Health of Russia

Email: jordan-85@inbox.ru
obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute

Nina S. Tsirkunova

Rostov-on-Don City Hospital Six

Email: tsirkunovanina@gmail.com
Head of the Gynecological Department

Diana Yu. Bogunova

Rostov State Medical University, Ministry of Health of Russia

Email: bogunovadi@yandex.ru
obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute

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