Studiu retrospectiv privind incidența și tratamentul endometriozei | [Retrospective study regarding the incidence and treatment of endometriosis]

Abstract

Introduction: Endometriosis is a benign condition that affects a large number of women at a fertile age. The most frequent localization of this ectopic tissue is the peritoneum. Clinically, it has a progressive evolution and is usually characterized by chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Objectives: This paper aims to point out the prevalence and the general profile of the woman afflicted by endometriosis and also to evaluate the methods of diagnosis and therapeutic. Material and methods: The study was conducted during the period January 2009-December 2015, on 317 patients admitted to the Clinical Hospital of Obstetrics and Gynaecology “Dr.I.A. Sbarcea” Brasov. Results: The most commonly found localization for endometriosis was in the peritoneum in 56.15% of cases and ovary in 43.85%. The pathology has a higher prevalence in women at fertile age (>25 years). Chronic pelvic pain was the main symptom for presenting to the hospital, followed by dysmenorrhea. The cases were treated mainly by laparoscopy; this intervention is considered the gold standard for this pathology. Conclusions: Endometriosis has a profound impact on quality of life, and developing a therapy that also improves fertility remains a challenge for clinicians and basic scientists.