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Endometriosis

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Clinical Reproductive Medicine and Surgery

Abstract

Endometriosis is a chronic gynecologic disease with a pleiotropic symptomatology, physical presentation, and treatment approaches. Ten percent of the population is affected; however, the prevalence in chronic pelvic pain or infertility-stricken women is much higher. Surgical diagnosis is adequate, but the classification scheme is of little value to clinicians. Apart from a genetic component to endometriosis, there are other predisposing factors that are predominately estrogen-driven. Several hypotheses exist, but there is no conclusive theory for either the pathophysiology of endometriosis or the mechanisms for attributed infertility and pain. This chapter describes approaches to treating infertility (both surgically and medically) as well as managing pain symptoms. As much as the literature provides, evidence-based studies have been summarized to maximize your treatment approaches to this vexing disease.

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Author information

Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Washington University School of Medicine, St. Louis, MO, USA

    Dan I. Lebovic

  2. Obstetrics, Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, OH, USA

    Tommaso Falcone

Authors
  1. Dan I. Lebovic
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  2. Tommaso Falcone
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Correspondence to Dan I. Lebovic .

Editor information

Editors and Affiliations

  1. Cleveland Clinic London, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    Tommaso Falcone

  2. Division of Reproductive Endocrinology and Infertility, University of Alabama School of Medicine, Birmingham, AL, USA

    William W. Hurd

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Lebovic, D.I., Falcone, T. (2022). Endometriosis. In: Falcone, T., Hurd, W.W. (eds) Clinical Reproductive Medicine and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-99596-6_24

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  • DOI: https://doi.org/10.1007/978-3-030-99596-6_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-99595-9

  • Online ISBN: 978-3-030-99596-6

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