Található-e összefüggés az endometriosis stádiumbeosztása és a kismedencei fájdalom súlyossága között? A kezelés lehetoségei

Translated title of the contribution: Is there any correlation between the stageing of endometriosis and severity of pelvic pain score? Possibilities of treatment

György Szendei, Hernádi Zsolt, Nóra Dévényi, Z. Csapó

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The authors present the results of 181 patients suffering from pelvic endometriosis confirmed by histology. The patients' main symptom was chronic pelvic pain. They attended the Endometriosis Outpatient of the 1st. Department of Obstetrics and Gynecology of the Semmelweis University Budapest between the 1st January 1995 and 1st January 2000. In 1986 the American Fertility Society defined the extension of pelvic endometriosis by the Revised-AFS scoring system. For the evaluation of the chronic pelvic pain the short-form of the McGill pain questionaire was employed. 8-10 weeks after starting of the treatment a second-look laparoscopy was performed. It was followed by a non-conventionally administered monophasic oral contraceptive treatment. The authors review the potential causes of chronic pelvic pain, in particular - endometriosis. They emphasise the necessity of early diagnosis and appropriate surgical treatment. There was no correlation between the severity of endometriosis by RAFS score and the severity of chronic pelvic pain. Despite the combined treatment (surgical - medical - surgical) in one fifth of the cases recurrence was observed. It was found that the non-conventionally used monophasic oral contraceptive treatment could reduce by half the recurrence in those cases where otherwise a radical operative procedure would be required (hysterectomy with bilateral salpingooophorectomy.

Original languageHungarian
Pages (from-to)365-372
Number of pages8
JournalMagyar Noorvosok Lapja
Volume66
Issue number6
Publication statusPublished - 2003

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Pelvic Pain
Endometriosis
Chronic Pain
Oral Contraceptives
Therapeutics
Recurrence
Hospital Obstetrics and Gynecology Department
Operative Surgical Procedures
Hysterectomy
Gynecology
Laparoscopy
Fertility
Early Diagnosis
Histology
Outpatients
Pain

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Található-e összefüggés az endometriosis stádiumbeosztása és a kismedencei fájdalom súlyossága között? A kezelés lehetoségei. / Szendei, György; Zsolt, Hernádi; Dévényi, Nóra; Csapó, Z.

In: Magyar Noorvosok Lapja, Vol. 66, No. 6, 2003, p. 365-372.

Research output: Contribution to journalArticle

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