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Endometriosis. Sanja Načinović Mentor: A. Žmegač Horvat. Definition. endometrial-like cells appear in areas outside the uterine cavity endometrial-like cells are influenced by hormonal changes . Epidemiology . typically seen during the reproductive years occurs in roughly 5-10% of women .
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Endometriosis Sanja Načinović Mentor: A. Žmegač Horvat
Definition • endometrial-like cells appear in areas outside the uterine cavity • endometrial-like cells are influenced by hormonal changes
Epidemiology • typically seen during the reproductive years • occurs in roughly 5-10% of women
Infertility • link between infertility and endometriosis remains enigmatic
Other symptoms • constipation • chronic fatigue • mild to severe fever • headaches • depression • hypoglycemia (low blood sugar) • anxiety
Causes • the exact cause of endometriosis remains unknown • Retrograde menstruation • Coelomic metaplasia • Genetics • Transplantation • Environment
How to diagnose it? • laparotomy • laparoscopy • ultrasound
Co-morbidity • ovarian cancer • non-Hodgkin's lymphoma • leiomyoma • autoimmune disorders • hypothyroidism
Possible locations • ovaries • fallopian tubes • back of the uterus • front of the uterus • uterine ligaments • pelvic and back wall • intestines • urinary bladder and ureters
Staging • Stage I (minimal) • Stage II (mild) • Stage III (moderate) • Stage IV (severe)
Markers • high levels of estrogen • low levels of progesterone • antigen C-125
Treatments • hormonal medications - progestins, oral contraceptives, Danazol, aromatase inhibitors • other medications - NSAID, Diclofenac