StrongHER, TogetHER: A comprehensive review of obstetrical dilemma in endometriosis and infertility

A comprehensive review of obstetrical dilemma in endometriosis and infertility

10 – 15 %

Of women of reproductive age are affected

70 %

Of women with chronic pelvic pain have endometriosis

 

Diagnosis of Endometriosis

Initial diagnosis involves clinical assessment. Transvaginal ultrasonography is the first line imaging in suspected patients. Dr Pangilinan discussed two ultrasound techniques in visualizing deep infiltrating endometriosis.

• Gel sonovaginography : Views the posterior fornix and rectovaginal septum
• Rectal water contrast imaging : Identified location of endometriosis, non-specific bowels, bowel stricture

Management of Endometriosis¹

Medical intervention is the first line of treatment and includes: