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Unformatted text preview: Endometriosis Epidemiology Endometriosis can affect any female, from premenarche to postmenopause, regardless of race or ethnicity or whether or not they have had children. It is primarily a disease of the reproductive years. Estimates about its prevalence vary, but 510% is a reasonable number, more common in women with infertility (2050%) and women with chronic pelvic pain (about 80%). As it is an oestrogen-dependent process, it can persist beyond menopause and persists in up to 40% of patients following hysterectomy. Diagnosis Endometriosis should be considered as a cause for any woman who has a painful period which interferes with their life. The diagnosis can only be reliably made by inspection of the pelvis via laparoscopy, however large areas of endometriosis can be inferred from Ultrasound and MRI imaging. Once a diagnosis is made the extent of endometriosis can be staged as follows:- Stage I (Minimal) - Findings restricted to only superficial lesions and possibly a few filmy adhesions...
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- Fall '10