Endometriosis in routine practice: analysis of clinical cases
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.Dubrovina S.O., Berlim Yu.D., Aleksandrina A.D., Vovkochina M.A., Tsirkunova N.S., Bogunova D.Yu.
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.
Keywords
endometriosis
infertility
surgical treatment
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Received 16.06.2022
Accepted 20.06.2022
About the Authors
Svetlana O. Dubrovina, Professor, Dr. Med. Sci., Chief Researcher, RostSMU, Ministry of Health of Russia; Chief Researcher, Obstetrics and Pediatrics Research Institute, RostSMU, Ministry of Health of Russia, +7(863)250-42-00, s.dubrovina@gmail.com, 344012, Russia, Rostov-on-Don, Mechnikov str., 43.Yulia D. Berlim, PhD, Deputy Chief Physician for Medical Affairs, Rostov-on-Don City Hospital No. 6, +7(918)500-23-56, juliaberlim@yandex.ru,
344025, Russia, Rostov-on-Don, Saryan str., 85.
Anna D. Alexandrina, obstetrician-gynecologist, Rostov-on-Don City Hospital of Emergency Medicine, +7(904)448-58-42, anna221215@inbox.ru,
344068, Rostov-on-Don, Russia, Bodraya str., 88/35.
Marina A. Vovkochina, obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute, RostSMU, Ministry of Health of Russia, +7(918)559-00-30, jordan-85@inbox.ru, 344012, Russia, Rostov-on-Don, Mechnikov str., 43/38/2.
Nina S. Tsirkunova, Head of the Gynecological Department, Rostov-on-Don City Hospital No. 6, tsirkunovanina@gmail.com, +7(928)174-21-94,
344025, Russia, Rostov-on-Don, Saryan str., 85.
Diana Yu. Bogunova, obstetrician-gynecologist, Obstetrics and Pediatrics Research Institute, RostSMU, Ministry of Health of Russia, +7(961)5247723, bogunovadi@yandex.ru, 344022, Russia, Rostov-on-Don, per. Nakhichevansky, 29.
Authors' contributions: Dubrovina S.O. – formation of the idea of the article, writing the article; Berlim Yu.D., Aleksandrina A.D., Vovkochina M.A., Tsirkunova N.S., Bogunova D.Yu. – information collection, writing the article.
Conflicts of interest: The authors declare that there are no possible conflicts of interest.
Funding: The article is published without sponsorship.
Patient Consent for Publication: All patients provided informed consent for the publication of their data and associated images.
For citation: Dubrovina S.O., Berlim Yu.D., Aleksandrina A.D., Vovkochina M.A., Tsirkunova N.S., Bogunova D.Yu. Endometriosis in routine practice: analysis of clinical cases.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 6: 152-161 (in Russian)
https://dx.doi.org/10.18565/aig.2022.6.152-161
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