Endometriosis

What you need to knowConsider endometriosis when women of reproductive age present with abdomino-pelvic pain associated with menstruation, sexual intercourse, urination, defecation, and/or infertilityConsider gynaecology referral if three months of simple analgesia (with or without combined oral contraceptive pill) is ineffective for suspected endometriosisA normal pelvic exam and/or pelvic ultrasound does not exclude endometriosisA 24 year old woman presents to a new GP with threeyears of pain during sexual intercourse and increasingly painful periods affecting her mood, relationships, and work. Simple analgesia was ineffective and pelvic ultrasound within three months was normal. She has presented fivetimes in the past two years but has received no diagnosis or effective management.What is endometriosis?Endometriosis is a condition defined by the presence of endometrial-like tissue outside the uterus.1It typically occurs in women of reproductive age but prepubertal endometriosis has been reported. Endometriosis is also reported in women after menopause but is thought to have…
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