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Endometriosis - An Overview Prof. of Obstetrics and Gynecology  Mansoura Faculty of Medicine Mansoura Integrated Fertility Center (MIFC)  EGYPT Prof. Dr.  Mohammad A. Emam
Definition ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sites
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pelvic Endometriosis
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Theories of histiogenesis
Theories Of Histiogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],continue
Predisposing Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Macroscopic appearance 1) Uterine endometriosis “Adenomyosis”: In both types: C/S a whorled appearance. D.D:  * No capsule. * Dark brown spots. * M/E endometrial tissue. * Firm in consistency * Firm in consistency * The uterus is asymmetrical enlarged * The uterus is symmetrically enlarged b) Localized (occasional) a) Diffuse (Common)
 
Macroscopic appearance  CONT…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],Diagnosis
[object Object],[object Object],[object Object],[object Object],Diagnosis Cont…
Diagnosis Cont… high Low Socioeconomic nullipara Multipara Parity About 30 years About 40 years Age Extra uterine endometriosis Adenomyosis
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms  cont… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Signs
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Investigations
Laparoscopy ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Laparoscopy  cont….
 
 
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],Differential diagnosis
 
Ovarian Endometriosis (Endometrioma) ,[object Object]
Rectovaginal Septum Endometriosis ,[object Object],[object Object]
Classification / Staging ,[object Object],[object Object],[object Object],[object Object]
 
Revised AFS 1985 ,[object Object],[object Object],[object Object],[object Object]
Treatment : Consideration ,[object Object],[object Object],[object Object],[object Object]
Treatment (Rationale) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endometriosis & IVF ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Lines of ttt
[object Object],[object Object],[object Object],[object Object]
(II) Medical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
(Ill) Hormonal treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications of Hormonal ttt ,[object Object],[object Object],[object Object],[object Object],[object Object]
Aim of the hormonal therapy ,[object Object],[object Object],[object Object],[object Object]
Aim of the hormonal therapy  cont…. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Danazol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GnRH-a ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GnRH-a ,[object Object],[object Object],[object Object]
Gossypol ,[object Object],[object Object],[object Object],[object Object]
Gestrinone ,[object Object],[object Object],[object Object]
Surgical Treatment  (Laparoscopy / Laparotomy) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conservative surgery ,[object Object],[object Object],[object Object]
The Principles of Microsurgical Technique ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Principles of Microsurgical Technique  cont… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
OB& GYN, Mansoura Faculty of Medcine Mansoura Integrated Fertility Center (MIFC) EGYPT Telfax 0020502319922 & 0020502312299 Email. mae335@hotmail.com Prof. DR. MOHAMMAD  EMAM Thank you

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endometriosis

  • 1. Endometriosis - An Overview Prof. of Obstetrics and Gynecology Mansoura Faculty of Medicine Mansoura Integrated Fertility Center (MIFC) EGYPT Prof. Dr. Mohammad A. Emam
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  • 13. Macroscopic appearance 1) Uterine endometriosis “Adenomyosis”: In both types: C/S a whorled appearance. D.D: * No capsule. * Dark brown spots. * M/E endometrial tissue. * Firm in consistency * Firm in consistency * The uterus is asymmetrical enlarged * The uterus is symmetrically enlarged b) Localized (occasional) a) Diffuse (Common)
  • 14.  
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  • 19. Diagnosis Cont… high Low Socioeconomic nullipara Multipara Parity About 30 years About 40 years Age Extra uterine endometriosis Adenomyosis
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  • 60. OB& GYN, Mansoura Faculty of Medcine Mansoura Integrated Fertility Center (MIFC) EGYPT Telfax 0020502319922 & 0020502312299 Email. mae335@hotmail.com Prof. DR. MOHAMMAD EMAM Thank you