endometriosis

Endometriosis - An Overview Prof. of Obstetrics and Gynecology Mansoura Faculty of Medicine Mansoura Integrated Fertility Center (MIFC) EGYPT Prof. Dr. Mohammad A. Emam

Definition ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sites

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pelvic Endometriosis

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Theories of histiogenesis

Theories Of Histiogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],continue

Predisposing Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Macroscopic appearance 1) Uterine endometriosis “Adenomyosis”: In both types: C/S a whorled appearance. D.D: * No capsule. * Dark brown spots. * M/E endometrial tissue. * Firm in consistency * Firm in consistency * The uterus is asymmetrical enlarged * The uterus is symmetrically enlarged b) Localized (occasional) a) Diffuse (Common)

Macroscopic appearance CONT…. ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Diagnosis

[object Object],[object Object],[object Object],[object Object],Diagnosis Cont…

Diagnosis Cont… high Low Socioeconomic nullipara Multipara Parity About 30 years About 40 years Age Extra uterine endometriosis Adenomyosis

Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Symptoms cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Signs

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Investigations

Laparoscopy ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Laparoscopy cont….

[object Object],[object Object],[object Object],[object Object],[object Object],Differential diagnosis

Ovarian Endometriosis (Endometrioma) ,[object Object]

Rectovaginal Septum Endometriosis ,[object Object],[object Object]

Classification / Staging ,[object Object],[object Object],[object Object],[object Object]

Revised AFS 1985 ,[object Object],[object Object],[object Object],[object Object]

Treatment : Consideration ,[object Object],[object Object],[object Object],[object Object]

Treatment (Rationale) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Endometriosis & IVF ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Lines of ttt

[object Object],[object Object],[object Object],[object Object]

(II) Medical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

(Ill) Hormonal treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Indications of Hormonal ttt ,[object Object],[object Object],[object Object],[object Object],[object Object]

Aim of the hormonal therapy ,[object Object],[object Object],[object Object],[object Object]

Aim of the hormonal therapy cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Danazol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GnRH-a ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

GnRH-a ,[object Object],[object Object],[object Object]

Gossypol ,[object Object],[object Object],[object Object],[object Object]

Gestrinone ,[object Object],[object Object],[object Object]

Surgical Treatment (Laparoscopy / Laparotomy) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conservative surgery ,[object Object],[object Object],[object Object]

The Principles of Microsurgical Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Principles of Microsurgical Technique cont… ,[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object]

OB& GYN, Mansoura Faculty of Medcine Mansoura Integrated Fertility Center (MIFC) EGYPT Telfax 0020502319922 & 0020502312299 Email. mae335@hotmail.com Prof. DR. MOHAMMAD EMAM Thank you

endometriosis

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endometriosis