Endometriosis

Women may experience their first symptoms of endometriosis in their teen years, but the indications may not be recognized until much later.  

A recent study examined whether severe and/or chronic abuse of multiple types during childhood and adolescence increases a woman's risk of endometriosis.

Frequent fatigue affects a full half of women diagnosed with endometriosis. However, physicians are not discussing management and treatment strategies with their patients. 

Research point to risk as well as benefits of extended adjuvant tamoxifen for ER-positive BCa. PLUS: Should breast cancer screening be risk-based? ALSO: Side effects of cross-sex hormones in transwomen.

In women with endometriosis, deep dyspareunia is associated with lower sexual quality of life (QoL), according to a study.

For in vitro fertilization (IVF), clinical and ongoing pregnancy rates deteriorated with worsening endometriosis, according to results of a recently published retrospective study.

Narrowband imaging (NBI) at laparoscopy was able to detect additional areas of endometriosis not identified by standard white light, according to results of a study in The Journal of Minimally Invasive Gynecology.

A new self-administered scale to assess painful symptoms of endometriosis in research trials was recently developed by European obstetrician/gynecologists, the first time such a scale has been created with input from both clinicians and patients.

Meta-analysis of 3 studies of acupuncture for relief of endometriosis-related pain found positive results for reduction in pain intensity, according to recently published research.

In the hands of a minimally invasive gynecologic surgeon, women with advanced endometriosis do not have an increased risk of complications, according to the results of a retrospective study presented month at the 46th AAGL Global Congress on Minimally Invasive Gynecology.

Results of a Chinese study of the progestin dienogest build on data from a multicenter European study of the progestin in teens with endometriosis.

Women with endometriosis at first singleton pregnancy are about 1.5 times more likely to have a preterm birth (PTB), according to a meta-analysis.

A retrospective analysis of pregnancy outcomes suggests that a GnRH-agonist rather than a GnRH-antagonist protocol may be beneficial in women with endometriosis-related infertility.

Data from more than 1.9 million subjects shows that women with endometriosis have a statistically higher risk of obstetric complications including preterm birth (PTB) than those without the condition.

Results of a new prospective cohort study add to existing literature on the association between endometriosis and skin cancer and show that the connection is strongest for melanoma. The findings, published in Cancer Causes and Control, are by researchers from the United States and France.

A new analysis of data from Nurses’ Health Study II (NHS II) shows that following the American College of Obstetricians and Gynecologists’ recommendations on breastfeeding may lower a woman’s risk of endometriosis. The association between the risk reduction and breastfeeding, the authors say, may be mediated at least in part by amenorrhea

A recent study determined that magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) are of significant, but different value in determining the presence and depth of deep infiltrating endometriosis (DIE).

Results of a small new trial performed in a pediatric gynecology clinic show that an endometriosis therapy previously studied only in adults may be effective for teens. The findings reflect outcomes for quality of life in adolescents treated with “add-back” therapy with norethindrone acetate (NA) plus conjugated estrogens (CEE) versus NA alone.

Results of an online survey show that the type and severity of a woman’s endometriosis symptoms has a significant relationship with her productivity both at work and at home.

Retrospective analysis of data on women undergoing surgery for urinary tract endometriosis sheds new light on the role that the surgical team’s expertise has on patient outcome.

A meta-analysis of data from more than 17,000 cases of endometriosis suggest that specific genes involved in sex steroid hormone signaling and function may play a role in the disorder.

Readers discuss the prevalence of endometriosis and providing healthcare to the poor.

A genomic analysis of endometriotic lesions shows that a disease associated with almost no risk of malignant transformation may harbor mutations associated with cancer. The findings, published in NEJM, provide a rationale for characterizing all endometriosis subtypes, say the authors.

New research on two different dosages of elagolix show that both doses improved dysmenorrhea and nonmenstrual pelvic pain in women with endometriosis. The findings, published in NEJM, add to data from previous studies of the drug, which showed that it produced partial to nearly full estrogen suppression.

Researchers in France asked the question in a study using patient questionnaires.

Dyspareunia, urinary functional symptoms, and dysmenorrhea were found in 47% of the women in the study.

One study found advantages and drawbacks.

If you're observing it in your practice, you'll want to know about these resources.