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Endometriosis.pptm - Endometriosis JENNIFER ERVIN...

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EndometriosisJENNIFER ERVINCHAMBERLAIN COLLEGE OF NURSINGNR 602: PRIMARY CARE OF CHILDBEARING AND CHILDREARING FAMILY
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What is Endometriosis?
EpidemiologyDetermining the prevalence of endometriosis is difficult due tounderreporting due to some women being asymptomatic,nonspecific presentations, and definitive diagnosis requiressurgeryWith increase incidence in 1stdegree relatives, it is suggestedthat endometriosis may be hereditaryEndometriosis has been reported in:40% adolescents with genital tract anomalies50% women with infertility20% women and adolescents with pelvic pain
Risk FactorsRisks are increased due tonulliparity, prolonged exposure to endogenous estrogen(early menarche prior to ll years old), late menopause,shorter menstrual cycles (<27 days, heavy menstrualbleeding, obstruction of menstrual outflow (Müelleriananomalies), height greater than 68 in, low BMI, exposureto physical or sexual abuse in childhood or adolescence,and increased consumption of trans unsaturated fats
Risk FactorsFactors associated with decreased risks:Multiple births, extended intervals of lactation, late menarche (after14 years)Prevalence of endometriosis has been reported higher in Caucasianand Asian women than compared to black and Hispanic women
PathophysiologyEndometrial cells are transported from the uterine cavity duringmenstruation and become implanted at ectopic sitesRetrograde flow of menstrual tissue through the fallopian tubes iscommon and can transport endometrial cells intra-abdominally,the lymphatic or circulatory system can transport endometrialcells to distant sitesThe endometrial lesions consist of gland and stroma consistent

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Term
Fall
Professor
N/A
Tags
Endometrium, Uterus, Chronic Pelvic Pain, Pelvic pain

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