Obstetrics & Gynecology: Endometriosis

Endometriosis is defined as the presence of functional endometrial glands and stroma in ectopic locations outside the uterine cavity. It is most commonly associated with chronic pelvic pain, an inherent stigma (moniker) that is attached to this disease. This book “World Clinics Obstetrics and Gynecology: Endometriosis” comprises of total 14 chapters. The first chapter discusses the various theories, both nonendometrial and endometrial, for the presence of endometrial tissue in ectopic locations, and the genetic factors that are being studied and may explain a predisposition for the development of disease. Second chapter details endometriosis in the adolescent population. The optimal management of endometriomas in the setting of both pain and infertility is a hotly debated topic. Third chapter reviews the current evidence in favor of excision and discusses a classification schema that may aid in more accurate diagnosis and management. Fourth chapter discusses the diagnostic and management strategies for adenomyosis. The potential pathophysiological explanations for leiomyoma correlation as well as laparoscopic management strategies for myoma have been described in fifth chapter. Endometriosis with subfertility and assisted reproduction are briefly discussed in seventh and eighth chapter. The focus of ninth to twelfth chapter is on urinary tract endometriosis, laparoscopic management of intestinal endometriosis, thoracic endometriosis syndrome (TES) and ovarian cancer respectively. Medical therapy for endometriosis covered in thirteenth chapter. The last chapter discusses medical management and pain relief strategies for this difficult disease.