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For women with symptoms suggestive of endometriosis, serum CA 125 is a relatively specific (93%) and noninvasive test. It can be used to make a presumptive diagnosis in cases for which a medical management approach is being considered without having to perform a (diagnostic standard) laparoscopic procedure to confirm.
The levonorgestrel-releasing intrauterine system achieves significantly higher resolution rates of endometrial hyperplasia without atypia compared with cyclic oral progestins (68% to 100% vs. 48% to 69%, respectively).
Endometriosis, which affects up to 10 percent of reproductive-aged women, is the presence of endometrial tissue outside of the uterine cavity. It is more common in women with pelvic pain or infertility (25 to 40 percent and 70 to 90 percent, respectively). Some women with endometriosis are asymptoma...
Jan 1, 2011 Issue
ACOG Updates Guideline on Diagnosis and Treatment of Endometriosis [Practice Guidelines]
Endometriosis is a chronic gynecologic disorder that commonly manifests as chronic pain and infertility. The American College of Obstetricians and Gynecologists (ACOG) has updated the guideline on diagnosis and treatment of endometriosis.
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Signs and symptoms of endometriosis are nonspecific, and an acceptably accurate noninvasive diagnostic test has yet to be reported. Serum markers do not provide adequate diagnostic accuracy. The preferred method for diagnosis of endometriosis is surgical visual inspection of pelvic organs with histo...
Sep 15, 2000 Issue
ACOG Issues Recommendations for the Management of Endometriosis [Practice Guidelines]
Up to one half of pre-menopausal women will have endometriosis, in which endometrial-like glands and stroma grow in an extrauterine site. The American College of Obstetricians and Gynecologists (ACOG) has updated its guidelines on the treatment of endometriosis.
Endometriosis is a progressive disease affecting 5 to 10 percent of women. It can cause dyspareunia, dysmenorrhea, low back pain and infertility. A definitive diagnosis can be made only by means of laparoscopy. Medical treatment designed to interfere with ovulation generally provides effective pain ...