UPDATE ON CLINICAL DIAGNOSIS AND MANAGEMENT OF ADENOMYOSIS

摘要

INTRODUCTION IN THIS ARTICLE WE SUGGEST A MODERN APPROACH TO MANAGING A PATIENT WITH A CHRONIC ILLNESS SUCH AS ENDOMETRIOSIS AND PARTICULARLY ADENOMYOSIS OF THE UTERUS. MAIN TEXT ADENOMYOSIS OFTEN COEXISTS WITH OTHER UTERINE PATHOLOGIES LIKE LEIOMYOMA AND, ESPECIALLY, DEEP AND SUPERFICIAL PERITONEAL AND OVARIAN ENDOMETRIOSIS. FOR PROPER MANAGEMENT OF THESE INTRICATE DISEASES, HEALTH CARE SPECIALISTS AND GYNECOLOGISTS NEED TO BE TRAINED IN DETECTING ENDOMETRIOSIS. CLEAR AND COMPLETE DIAGNOSIS REPORTING IS HELPFUL FOR NETWORKING AND ESSENTIAL TO ANY PROFESSIONAL MANAGING THIS DISEASE, FOR A BETTER INTERSPECIALTY COOPERATION. MANAGEMENT OF ADENOMYOSIS SHOULD BE TAILORED FOR THE SPECIFIC SYMPTOMS AND NEEDS OF THE PATIENT. LONG TERM FOLLOW-UP SHOULD TAKE PLACE PREFERABLY IN SPECIALIZED CENTERS OF EXCELLENCE IN ENDOMETRIOSIS SURGERY. COMPLETE CARE SHOULD BE PROVIDED BY THE MULTIDISCIPLINARY TEAM. CONCLUSION INCREASING AWARENESS FOR THIS DISEASE BOTH AMONGST MEDICAL CAREGIVERS AND PATIENTS CAN IMPROVE EARLY DIAGNOSIS, BETTER CARE AND PRESERVATION OF FERTILITY.