Episdoe 14: Is endometriosis a progressive disease?

Episdoe 14: Is endometriosis a progressive disease?

This review explores whether endometriosis is a progressive disease by examining the natural history of lesions through the lens of repeated tissue injury and repair (ReTIAR). Traditional staging systems often fail to predict disease outcomes because they rely on lesion size or volume, which are unreliable markers due to the body’s intrinsic tissue remodeling and fibrotic constraints. Instead, the authors argue that lesional fibrosis and stiffness serve as more accurate indicators of a lesion’s biological age and developmental stage. This progression is influenced by aggravating factors like menstrual cycles and stress, as well as mitigating factors like hormonal treatment or menopause. Ultimately, the text proposes using elastography to noninvasively measure stiffness, which could improve diagnostic accuracy and help clinicians tailor personalized treatments. This framework suggests that while the disease is inherently dynamic, the degree of scarring is the most critical metric for assessing its severity and prognosis.

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Jaksot(34)

Episode 34: IVF vs Surgery For endometriosis DIE/Endometrioma ?Do we finally have the answer?

Episode 34: IVF vs Surgery For endometriosis DIE/Endometrioma ?Do we finally have the answer?

A multicenter partially randomized patient preference trial compared the reproductive success of in vitro fertilization (IVF) versus surgical treatment in infertile women diagnosed with ovarian and de...

30 Loka 20min

Episode 33: Sclerotherapy and IVF outcome ,systemeic review

Episode 33: Sclerotherapy and IVF outcome ,systemeic review

This systematic review and meta-analysis investigates the impact of ethanol ovarian sclerotherapy versus surgical cystectomy on ovarian reserve and in vitro fertilization (IVF) outcomes in women suffe...

24 Loka 21min

Episode 32: why colonoscopy often misses bowel endometriosis

Episode 32: why colonoscopy often misses bowel endometriosis

This clinical study investigated the effectiveness of colonoscopy in detecting intestinal endometriosis among patients already diagnosed with deep pelvic endometriosis. Researchers evaluated 174 femal...

18 Loka 11min

Episode 31 : Endometriosis Lesions dont correlate with symptomes

Episode 31 : Endometriosis Lesions dont correlate with symptomes

A retrospective study investigated 234 women diagnosed via ultrasound with adenomyosis and endometriosis to determine whether pain intensity and hormone therapy response correlate with disease extensi...

11 Loka 21min

Episode 30: Recurrence after surgery for endometrioma

Episode 30: Recurrence after surgery for endometrioma

This systematic review and meta-analysis evaluates the likelihood of endometrioma recurrence in women who undergo surgery without subsequent hormonal suppression. By analyzing 55 studies, researchers ...

20 Syys 21min

Episode 29 : Diaphragmatic Endometriosis ,Review of single center experience with 60 cases

Episode 29 : Diaphragmatic Endometriosis ,Review of single center experience with 60 cases

This retrospective study evaluates the feasibility and safety of robotic-assisted surgery for treating severe diaphragmatic endometriosis, a rare condition that often causes shoulder and chest pain. R...

13 Syys 20min

Episode 28 : Surgery VS ART For patients with DIE ,A Multicenter randomized controlled trial

Episode 28 : Surgery VS ART For patients with DIE ,A Multicenter randomized controlled trial

Despite difficulty in recruitment for randmoized trials in patients with infertility and endometriosis ,this unique small RCT ,Shed some light of this important question .EFFORT study: Surgery vs assi...

6 Syys 19min

Episode 27 : Ten-Year Outcomes of Surgical Management for Rectal Endometriosis

Episode 27 : Ten-Year Outcomes of Surgical Management for Rectal Endometriosis

This study by Roman et.al presents the ten-year follow-up results of a randomized controlled trial comparing conservative surgical excision to radical segmental resection for treating deep rectal endo...

7 Elo 21min

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