Endometriosis

A new analysis of data from Nurses’ Health Study II (NHS II) shows that following the American College of Obstetricians and Gynecologists’ recommendations on breastfeeding may lower a woman’s risk of endometriosis. The association between the risk reduction and breastfeeding, the authors say, may be mediated at least in part by amenorrhea

A recent study determined that magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) are of significant, but different value in determining the presence and depth of deep infiltrating endometriosis (DIE).

Results of a small new trial performed in a pediatric gynecology clinic show that an endometriosis therapy previously studied only in adults may be effective for teens. The findings reflect outcomes for quality of life in adolescents treated with “add-back” therapy with norethindrone acetate (NA) plus conjugated estrogens (CEE) versus NA alone.

Results of an online survey show that the type and severity of a woman’s endometriosis symptoms has a significant relationship with her productivity both at work and at home.

Retrospective analysis of data on women undergoing surgery for urinary tract endometriosis sheds new light on the role that the surgical team’s expertise has on patient outcome.

A meta-analysis of data from more than 17,000 cases of endometriosis suggest that specific genes involved in sex steroid hormone signaling and function may play a role in the disorder.

Readers discuss the prevalence of endometriosis and providing healthcare to the poor.

A genomic analysis of endometriotic lesions shows that a disease associated with almost no risk of malignant transformation may harbor mutations associated with cancer. The findings, published in NEJM, provide a rationale for characterizing all endometriosis subtypes, say the authors.

New research on two different dosages of elagolix show that both doses improved dysmenorrhea and nonmenstrual pelvic pain in women with endometriosis. The findings, published in NEJM, add to data from previous studies of the drug, which showed that it produced partial to nearly full estrogen suppression.

Researchers in France asked the question in a study using patient questionnaires.

Dyspareunia, urinary functional symptoms, and dysmenorrhea were found in 47% of the women in the study.

One study found advantages and drawbacks.

If you're observing it in your practice, you'll want to know about these resources.

Potentized estrogen was found to be effective in a recent study.

A large study reaffirms that mothers with endometriosis and their babies face more complications than those without the condition.

CT imaging may help to distinguish abdominal wall endometriosis (AWE) from other abdominal wall masses.

Researchers in Japan have found that endometriosis ups risks of certain complications.

A questionnaire looks for presence of symptoms that tend to begin in adolescence.

The finding of increased risk was robust across multiple endpoints and found to be highest among young women.

Researchers gathered survey data to find out.

Women with endometriosis who have become pregnant through use of assisted reproductive technology may face increased rates of pregnancy complications.

A new study questions whether the risk of infertility linked to endometriosis is as bad as previously thought.

Laparoscopic excision should remain the standard of care for endometriosis, although its success depends on the surgeon’s ability to excise all disease from all effected areas.

Many advances have been made in understanding the multi-layered causes of sexual pain, and most women can resume or begin satisfying sexual lives after diagnosis and up-to-date treatment.

Less may be more when it comes to surgical management.

Chronic pelvic pain is costly to diagnose and treat, but appropriate and timely interventions can lead to a restoration of quality of life.

QUIZ: These images are from a young woman with pelvic pain. What do you see?

Two new compounds, oxabicycloheptene sulfonate and chloroindazole, were successfully tested in early studies to treat endometriosis.

Nearly 1 in 5 hysterectomies for benign indications were unnecessary, and nearly 2 in 5 had unsupportive pathology in women younger than 40.

Addressing the emotional component of a patient's diagnosis isn't often feasible, but these tools can help patients with this important aspect of healing.