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001-es BibID:BIBFORM078339
Első szerző:Di Guardo, Federica
Cím:Management of women affected by endometriosis : are we stepping forward? / Federica Di Guardo, Mohsin Shah, Maria Cecilia Cerana, Antonio Biondi, Erbil Karaman, Péter Török, Daniela A. Yela, Pierluigi Giampaolino, Alejandro Marín-Buck, Antonio Simone Laganà
Dátum:2019
ISSN:2284-0265 2284-0273
Megjegyzések:Endometriosis is an estrogen-dependent chronic disease defined by the presence of endometrial-like tissue, glands and stroma in ectopic areas. Among all the pathogenic theories proposed to explain the origin of the disease, a pivotal role for immune, hormonal, and epigenetic disbalances have been hypothesized. Endometriosis affects up to 10%-15% of women in reproductive age and represents one of the most common gynecological causes of severe pelvic pain. The main symptoms reported by patients are dysmenorrhea and deep dyspareunia. Although the histological confirmation has been commonly considered mandatory, to date the possibility offered by the improvement in imagining techniques allows to make a proper diagnosis of the disease in most of the cases. Medical therapy represents only a symptomatic treatment and not the definitive solution. The aim of the hormonal therapy is to abolish the menstrual flow using progestin, oral contraceptives, and gonadotropin-releasing hormone agonists to reduce pelvic pain. Surgical treatment consisting of laparoscopy has the goal of abolishing pain and may be conservative or radical in nature depending on the patients' desire of spontaneous conception in the future. Radical surgery seems to be associated with a higher percentage of pain relief as well as higher recurrence rates. Due to the worldwide acceptance and the ongoing evolution of minimally invasive surgery to treat both benign and malignant diseases, future investigations may be conducted to consider this approach to save the function of all the organs involved by the disease and to reduce post-operative discomfort and psychological impact.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Endometriosis
infertility
dysmenorrhea
pathogenesis
treatment
minimally invasive surgery
Megjelenés:Journal of Endometriosis and Pelvic Pain Disorders. - 11 : 2 (2019), p. 77-84. -
További szerzők:Shah, Mohsin Cerana, Maria Cecilia Biondi, Antonio Karaman, Erbil Török Péter (1975-) (szülész-nőgyógyász) Yela, Daniela A. Giampaolino, Pierluigi Marín-Buck, Alejandro Laganà, Antonio Simone
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001-es BibID:BIBFORM082343
Első szerző:La Rosa, Valentina L.
Cím:Quality of life in women with endometriosis : a narrative overview / Valentina Lucia La Rosa, Pasquale De Franciscis, Fabio Barra, Antonio Schiattarella, Peter Török, Mohsin Shah, Erbil Karaman, Tais Marques Cerentini, Federica Di Guardo, Giuseppe Gullo, Marco Ponta, Simone Ferrero
Dátum:2020
Megjegyzések:Endometriosis is a very complex condition and has a significant impact on the quality of life, psychological wellbeing and interpersonal relationships of affected women. Endometriosis symptoms progressively impair the woman's ability to carry out some daily activities and result in a perception of worsening health status and overall well-being. The impact of these symptoms has been only partially investigated, and further studies and clinical insights are needed to fully understand the extent of this condition. It has been shown that endometriosis is associated with considerable direct and indirect costs, comparable to those of major worldwide chronic diseases such as diabetes. In addition, endometriosis-related symptoms substantially interfere with the employment of affected women, resulting in many cases in several working days missed. In this scenario, the aim of this narrative review is to provide a general overview of the psychological and social impact of this disease, as well as the effects of different therapeutic options, on quality of life and general well-being.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Endometriosis
Treatments
Quality of life
Psychology
Anxiety
Depression
Megjelenés:Minerva Medica. - 111 : 1 (2020), p. 68-78. -
További szerzők:De Franciscis, Pasquale Barra, Fabio Schiattarella, Antonio Török Péter (1975-) (szülész-nőgyógyász) Shah, Mohsin Karaman, Erbil Marques Cerentini, Tais Di Guardo, Federica Gullo, Giuseppe Ponta, Marco Ferrero, Simone
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