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Case 51 - A 24-Year-Old G0 Woman with Suspected Endometriosis Who Has Failed Medical Management

Published online by Cambridge University Press:  19 November 2021

By
Megan M. Quimper
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 24-year-old female, gravida 0, presents to the office for follow-up of suspected endometriosis. Her last menstrual period started two days ago. She reports a three-year history of chronic pelvic pain that is worse during menses, is moderate to severe in intensity, and crampy in nature. She has tried combined oral contraceptive pills without symptomatic improvement. She denies fever, changes in bowel or bladder habits, or dyspareunia. She is sexually active with one male partner. She uses condoms regularly. She has no history of sexually transmitted infections. She has no significant past medical or surgical history.

Keywords

Pelvic endometriosisdeeply infiltrating endometriosislaparoscopyendometriosis excisionendometrioma
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 155 - 158
Publisher: Cambridge University Press
Print publication year: 2021

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References

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Working group of ESGE, ESHRE, and WES; Saridogan, E, Becker, CM, Feki, A, et al. Recommendations for the surgical treatment of endometriosis. Part I: ovarian endometrioma. Gynecol Surg 2017; 14(1): 27.Google ScholarPubMed
Brown, J, Farquhar, C. Endometriosis: an overview of Cochrane Reviews. Cochrane Database Syst Rev 2014; 2014(3): CD009590.Google ScholarPubMed

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