Endometriosis & Adenomyosis. OB & GYN Hospital, Fudan University Lei Yuan , MD email@example.com. Endometriosis Endo Endometrium. Adenomyosis Adeno Adeno (ids). - OSIS. Endometriosis & Adenomyosis. Key points Symptoms Diagnosis Treatment. Case discussion Diagnosis
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Endometriosis & Adenomyosis
OB & GYN Hospital, Fudan University
Lei Yuan , MD
Characteristic of disease
Pain secondary dysmenorrhea
progressive / severe
15% associated with EMs
Symmetrically enlarged uterus
Boggy and tender( softer than myoma)
Mirena( a low-dose hormonal IUD)
no respond to medical treatment
(ovary preservation as appropriate)
What is your answer?
Laparoscopic assisted cystectomy
From Novak Gynecology 14 th
Status quo: Still controversial
Objectives: to reduce recurrence and promote fertility
Medication: GnRHa, Progestin, OCs …
1. Familiarize with the causes and pathogenesis of endometriosis
2. Master the clinical features, diagnosis and differential diagnosis of endometriosis
3. Grasp the major principles behind the treatment strategy of endometriosis
Thank You !