Diagnosis is suspected based on typical symptoms but must be confirmed by biopsy, usually via pelvic laparoscopy but sometimes via laparotomy, vaginal examination, sigmoidoscopy, or cystoscopy. Both endometrial glands and stroma must be present to…

Pelvic pain, pelvic mass, alteration of menses, and infertility are typical. Some women with extensive endometriosis are asymptomatic; some with minimal disease have incapacitating pain. Dyspareunia and midline pelvic pain before or during…

The most widely accepted hypothesis is that endometrial cells are transported from the uterine cavity and subsequently become implanted at ectopic sites. Retrograde flow of menstrual tissue through the fallopian tubes could transport…

Endometriosis is common among women of reproductive age, and its prevalence increases to 30-40% among infertile women. Clinical findings vary greatly depending on the number, size, and extent of the lesions and on the…

Proper counseling of patients with endometriosis requires attention to several aspects of the disorder. Of primary importance is the initial operative staging of the disease to obtain adequate information on which to base future decisions…

Treatment options are dictated by the patient’s desire for future fertility, her symptoms, the stage of her disease, and to some extent her age. It must be emphasized that therapy for endometriosis requires operative inspection…

Several classification schemes to assist in describing the anatomic location and severity of endometriosis at operation have been created. Although none is entirely satisfactory, the scoring systems are useful for reporting operative findings and for…

Complications

It is generally agreed that pelvic pain occurs premenstrually in endometriosis patients. Because of this, pain from endometriosis is thought to be due to stimulation from estrogen and progesterone during the menstrual cycle; the…

The gross appearance of endometriosis at operation is usually quite characteristic and, to an experienced surgeon, is sufficient for diagnosis. The smallest (and presumably earliest) implants are red, petechial lesions on the peritoneal surface. With…

The following highlights represent papers accepted for publication in the Journal of Clinical Endocrinology and Metabolism (JCE&M), as well as new patient information provided by The…

The percentage of caesarean section deliveries at New York City hospitals increased from 26.6% of all births in 2003 to 28.6% in 2004, according to a report released…

As from today the emergency contraceptive ‘the morning after pill’ or Plan B, will be available to any adult in the United States from hundreds of Planned Parenthood centers.

Some ob-gyns, as well as other physicians, recently have left their specialties to practice cosmetic medicine, including acne treatments and Botox injections, at medical spas, the New York Times reports.

According to a new study as many as 68,000 women each year die as a result of botched abortion procedures and another 5 million develop infections and complications.

Most…

The birth rate among U.S. women and girls ages 15 to 19 declined to a record low in 2005, while the rate of infants delivered…

The risk of urge and stress incontinence is not increased with total hysterectomy, regardless of surgical approach, according to a new study.

Researchers, led by Dr. Catharina Gustaffson at the Karolinska Institutet…

The wide interindividual variability of the outcome of the mother-child couple after birth is well known. The stereotype of the ‘single unwed mother’ with no qualifications and no resources who is inclined to abandon her…

A teenage pregnancy, and even more so when the girl is very young, is often discovered late for many reasons: ignorance, fear of talking about it, absence of an interlocutor, anxiety…

The changes in the law concerning abortions were published in the Journal Officiel of the French Republic on July 7, 2001. Essentially, the following two points were revised: (1) the legal…

Life-threatening behavior, like smoking, drugs, violence and suicide attempts, are used by the adolescent to cope with a feeling of not being appreciated, boredom, isolation, and a lack of goals and future plans.…

Very few studies have attempted to evaluate the risk of malformations in this population, even though it is clearly a population at risk because it is widely exposed to factors strongly thought to…

Aggression during the course of the pregnancy can take different forms: societal and parental, but the medical community also contributes. First of all, there is verbal violence. As the desire to conceive during…

French legislation clearly addresses the pregnancy of teenagers who are minors (under 18 years of age). In France, an unmarried minor alone: (1) can decide to pursue her pregnancy; (2) can legally…