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Review

Abdominal-Pelvic Pain in Female Patients with Endometriosis—A Review of the Literature

by
Dumitru Cristinel Badiu
1,
Marina Romina Sima
2,
Claudia Mehedintu
2,
Bogdan Mastalier
3,
Mihaela Mandu
1,
Liliana Florina Andronache
4,
Dan Nicolae Paduraru
5,
Anca Pantea Stoian
6,* and
Valentin Titus Grigorean
1
1
Department of Surgery, Bagdasar Arseni Clinical Hospital, Carol Davila University, Bucharest, Romania
2
Department of Obstetrics and Gynecology, Carol Davila University, Bucharest, Romania
3
Department of Surgery, Colentina Clinical Hospital, Carol Davila University, Bucharest, Romania
4
Faculty of General Medicine, Carol Davila University, Bucharest, Romania
5
Department of Surgery, The University Emergency Hospital Bucharest, Carol Davila University, Bucharest, Romania
6
Department of Diabetes, Nutrition and Metabolic Diseases, Carol Davila University, Bucharest, Romania
*
Author to whom correspondence should be addressed.
J. Mind Med. Sci. 2018, 5(2), 158-162; https://doi.org/10.22543/7674.52.P158162
Submission received: 31 July 2018 / Revised: 31 August 2018 / Accepted: 30 September 2018 / Published: 3 October 2018

Highlights

  • Pain is the main symptom in endometriosis and its control/ monitoring by physician and patients is essential.
  • The standard surgical treatment consists in laparoscopic excision of the ectopic endometrium, plus adjuvant pre/ postoperative medical therapy.

Abstract

Abdominal-pelvic pain is the dominant symptom in endometriosis, one of the most common pathologies that affect women, being also a multifactorial disorder. Exploratory laparoscopy allows the correct assessment of the location as well as severity and extent of the lesions, thus representing the current gold standard in diagnosis. The correlation of pain intensity with the evolutionary stage of endometriosis is inconstant. Surgical treatment, preferably performed laparoscopically, includes the excision of the ectopic endometrium, having as a primary objective the control of persistent pain and the removal of all endometriotic foci. This procedure helps to improve the life quality of the patient, to reduce relapses, to control postoperative pain, and to eliminate the disease. Pre- and post-operative adjuvant medical treatment is used due to its effects on the symptomatology, prolonging the asymptomatic period of the disease. Despite the use of the above procedures, there are cases in which the abdominal-pelvic pain persists even after surgery, which makes endometriosis a significant challenge for both the specialist and the patient, as well as for the medical system itself, as the study of the pathogenic mechanisms is yet the subject of numerous studies. Nutritional education in these patients is essential, given the recommendation to restrict the range of foods and to increase other foods that have an important role in reducing the risk or even leading to regression of the endometrial pathology.
Keywords: endometriosis; pain; postoperative; estrogens; treatment; nutrition endometriosis; pain; postoperative; estrogens; treatment; nutrition

Share and Cite

MDPI and ACS Style

Badiu, D.C.; Sima, M.R.; Mehedintu, C.; Mastalier, B.; Mandu, M.; Andronache, L.F.; Paduraru, D.N.; Stoian, A.P.; Grigorean, V.T. Abdominal-Pelvic Pain in Female Patients with Endometriosis—A Review of the Literature. J. Mind Med. Sci. 2018, 5, 158-162. https://doi.org/10.22543/7674.52.P158162

AMA Style

Badiu DC, Sima MR, Mehedintu C, Mastalier B, Mandu M, Andronache LF, Paduraru DN, Stoian AP, Grigorean VT. Abdominal-Pelvic Pain in Female Patients with Endometriosis—A Review of the Literature. Journal of Mind and Medical Sciences. 2018; 5(2):158-162. https://doi.org/10.22543/7674.52.P158162

Chicago/Turabian Style

Badiu, Dumitru Cristinel, Marina Romina Sima, Claudia Mehedintu, Bogdan Mastalier, Mihaela Mandu, Liliana Florina Andronache, Dan Nicolae Paduraru, Anca Pantea Stoian, and Valentin Titus Grigorean. 2018. "Abdominal-Pelvic Pain in Female Patients with Endometriosis—A Review of the Literature" Journal of Mind and Medical Sciences 5, no. 2: 158-162. https://doi.org/10.22543/7674.52.P158162

APA Style

Badiu, D. C., Sima, M. R., Mehedintu, C., Mastalier, B., Mandu, M., Andronache, L. F., Paduraru, D. N., Stoian, A. P., & Grigorean, V. T. (2018). Abdominal-Pelvic Pain in Female Patients with Endometriosis—A Review of the Literature. Journal of Mind and Medical Sciences, 5(2), 158-162. https://doi.org/10.22543/7674.52.P158162

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