Management of Endometriosis Sudha Prasad
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1Step by Step® Management of Endometriosis
2Step by Step® Management of Endometriosis
Sudha Prasad MD (AIIMS) FICOG FICMCH Professor Maulana Azad Medical College New Delhi, India
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd.
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002 India
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Step by Step Management of Endometriosis
© 2008, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2008
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
In spite of vast advances in gynecology, diagnosis of endometriosis remains challenging. Despite an extensive number of new laboratory tests and advances in imaging technologies, at present there are no simple noninvasive diagnostic tests for endo-metriosis. Complete clinical assessment supported by selective and critical use of laboratory and imaging studies may help in the identification of a high-risk patient population. However, in a large proportion of cases, diagnosis of endometriosis requires careful laparoscopic evaluation combined with a thoughtful interpretation of histological examination of excised lesions. Misdiagnoses and under-diagnoses of endometriosis are not only due to the limitations of diagnostic tools but also due to lack of recognition of the symptoms by the patients and physicians. Although in a large proportion of patients, early diagnosis of endometriosis is essential for the formulation of an appropriate treatment plan, one should keep in mind that detection of endometriosis in asymptomatic women does not automatically necessitate medical or surgical management. IV pyelography, CT, MRI is not specific or adequate for diagnosis. However, these can be performed to support the diagnosis.
This handbook will provide the necessary clinical knowledge to diagnose and manage this elusive disease.
Sudha Prasad