Endometriosis

This book exclusively focuses on the practical aspects of diagnosing and managing bowel endometriosis, and highlights the importance of pursuing a multidisciplinary approach. Collecting chapters written by international experts in the field, the book is divided into two parts: the first presents all imaging techniques that are currently available and useful in diagnosing bowel endometriosis, while the second covers all available surgical techniques for treating this disorder, including the modern and lesser-invasive Nerve-Sparing radical approaches. Featuring a wealth of figures, sketches and videos, the book offers an essential guide for specialists, resident and subspecialty trainees in the fields of gynecology, colorectal surgery, radiology and gastroenterology.

Endometriosis is one of the most common gynecological diseases, causing pelvic pain, infertility, and cancer. The condition reduces the quality of life for the estimated 10% of menstruating women who are affected by it. This book provides a clear insight into the pathogenesis and pathophysiology of endometriosis—essential information for clinicians intending to successfully treat the condition. The first part covers a range of topics including stem cells, NK cells, macrophages, inflammation, cytokines, epigenetics, prostaglandin, sex steroids, aromatase, apoptosis, nerve fibers, and malignant transformation to aid in understanding the pathogenesis and pathophysiology of the disease. The second part provides useful tools for therapy, specifically, notable recent techniques in prevention, imaging, biomarkers, medical treatments, surgical treatments, prevention of recurrence, and infertility treatments. Each chapter was written by an expert in the field, with nearly 40 researchers and clinicians contributing to the work. This book will be highly useful to clinicians as well as to research scientists who are interested in this enigmatic disease.

From the award-winning Dr. Tamer Seckin comes a book written for all of the Endo Warriors out there, from the thirteen-year-old girl who is being told that her pain is “part of becoming a women,” to the woman who has been misdiagnosed for decades—and needs to know she is not alone. Every girl has the right to be pain-free. To live the life they want to live. The journey toward new and happy lives for young women begins now! Endometriosis is a physically and mentally debilitating disease that has tortured women for centuries. It currently affects 176 million of childbearing age worldwide, including one in ten in the U.S. Despite those startling statistics, this horrific and incurable ailment is still relatively unknown to the general population and medical professionals alike. Symptoms of heavy periods and excruciating pain most often begin in middle school or high school, yet doctors take an average of twelve years to diagnose it in a patient. As a result, these undiagnosed and misdiagnosed women suffer into at least their mid-twenties or early thirties, repeatedly told that the pain is in their minds, that it’s simply part of becoming a woman, or that it’s caused by some other disease or condition. That nonsense must stop, and it must stop now! This book will explain what endo is in terms that adolescents can understand, along with potential remedies, treatments to avoid, and how to manage the psychological and social effects of the disease. It will also include riveting stories from women in their teens and mid-twenties, and from those closest to them such as mothers, fathers, teachers, and coaches. One of the most terrifying aspects of having endo is feeling like nobody believes the pain is real or severe, which can cause a woman to feel scared, isolated, and depressed. This book will fully arm her with the truth and knowledge about the disease so that she can overcome her fears and confidently advocate for herself. If her cry for help has been dismissed by anyone, she will be able to educate them so that they can empathize with her and fully support her in her quest for healing.

Endometriosis materializes when the endometrium – the tissue that lines the inside of the uterus – sheds, but does not exit a woman’s body during her period. Instead, it grows outside of the uterus, spreading to organs and nerves in and around the pelvic region. The resulting pain is so physically and emotionally insufferable that it can mercilessly dominate a woman’s life. The average woman with endometriosis is twenty-seven years old before she is diagnosed. It is one of the top three causes of female infertility. The pain it emits can affect a woman’s career, social life, relationships, sexual activity, sleep, and diet. It is incurable, but highly treatable. Unfortunately, though, it is rarely treated in a timely manner, if at all, because of misdiagnoses and/or a lack of education among those in the medical community. This book gives hope to everyone connected to endometriosis. That includes every woman and young girl who has it, and the women and men in their lives – the mothers, fathers, husbands, children, and friends – who know something is wrong, but do not know what it is or what to do about it. This book is written at a level that everyone with ties to this disease can relate to and understand, but it is also for doctors with good intentions who lack the knowledge of how to diagnose or treat it. The Doctor Will See You Now is for women determined to let the world know their stories so that every woman with this disease – from the thirteen-year-old girl who is being told that her pain is “part of becoming a woman” to the woman who has been misdiagnosed for decades – knows she is not alone. Yes, her pain is real. No, she is not crazy. Yes, there is hope.

Endometriosis is an oestrogen-dependent disease and is usually not encountered after menopause. Endometriosis-associated pain is treated with drugs that suppress oestrogen secretion in the ovaries. Hormonal products used to reduce pain also prevent pregnancy and are not recommended for infertility patients.Surgery relieves pain and may improve infertility.

Adolescent endometriosis is a previously overlooked disease in children, the true prevalence of which is still unknown but has been estimated between 19-73%. There are numerous initial challenges faced by adolescents suffering from delayed or undiagnosed endometriosis apart from experiencing chronic pain, such as: school/work absenteeism, false diagnoses/treatments, erroneous physician referrals, unnecessary radiological studies, radiation exposure, and emergency room visits as well as early exposure to narcotic pain medications and subsequent drug tolerance, resistance or even addiction. This text presents a clear history of physician and patient understanding and awareness of endometriosis in adolescents. It lays the groundwork for this condition with background information on endometriosis in general followed by a more focused look at endometriosis in adolescents. Leading experts in the field provide chapters on the different locations where endometriotic lesions can present in adolescents as well as identified risk factors and concomitant diseases of which it is important to be aware. In addition to the clinical presentation, this book also provides information on breaking down existing barriers, such as stigma, and current activism and awareness of this condition. Adolescent Endometriosis is a first-of-its-kind text that focuses exclusively on endometriosis in the adolescent population. Written by experts in the field, this book is a comprehensive resource for clinicians in all medical disciplines that treat adolescent age girls.

This Atlas presents an MRI-based guide to the diagnosis, treatment and follow up of deep endometriosis. Developed by professionals with a extensive clinical experience in the diagnosis and treatment of deep endometriosis, it provides a global overview of the disease, from basic clinical aspects of imaging diagnosis, to the correlation with surgical findings and histopathological results. Deep endometriosis is a serious gynecological condition, which can severely impact on women’s quality of life. It shares the main features of regular endometriosis, but also displays a highly infiltrative pattern, involving multiple organs and leading to severe symptoms such as dysmenorrhea, chronic pelvic pain and dyspareunia. Atlas of Deep Endometriosis – MRI and Laparoscopic Correlations is a complete guide, intended for radiologists, gynecologists and all other medical professionals interested on the diagnosis and treatment of deep endometriosis. (NOTE: This title was previously published in 2014 in Portuguese and Spanish and comes from our partnership with Brazilian publisher, Revinter.)

The early history of endometriosis is interwoven with the history of adenomyosis, since it was not until the mid nineteen-twenties that the two conditions were finally separated. A History of Endometriosis provides a detailed reconstruction of the progress made in identifying, describing and treating the condition we call today endometriosis.