Category Archives: Endo – causes

Discussion of causes

CPP and CBT

In the same edition of “The Obstetrician & Gynaecologist” (August 2011) a Scottish psychiatrist writes on “Medically Unexplained Gynaecological Symptoms” and cognitive behavioural therapy (CBT). Aside from the new, and unfortunate, acronym – MUS – he suggests that uterine, vaginal … Continue reading

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Endo & subfertility

Another item in “The Obstetrician & Gynaecologist” discusses endometriosis and subfertility (August, 2011). There is no doubt that there is a relationsip between endo and fertilty – but it does not look like a uniform relationship. Clearly women with grade … Continue reading

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“DIE” in BJOG

“Origins of deep infiltrating endometriosis” appeared in the British journal of Obstetrics & Gynaecology (August, 2011). The brief note explained the causes as injuries in childbirth and straining during defecation. In China you can add three or four surgical terminations … Continue reading

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Deep infiltrating endometriosis

There is probably no more sinister title for a gynaecological condition than “deep-infiltrating-endometriosis”. It is “deep” in the pelvis, “infiltrates” through the pelvis, and, causes much pain. As a result the surgical treatments are becoming increasingly radical including different patterns … Continue reading

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Pain during pregnancy

I saw a patient yesterday who was having her third labour induced at 36 weeks by a colleague because of severe and persistent pain. She had a difficult first labour complicated by induction, epidural, intravenous oxytocin and forceps delivery. It … Continue reading

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Adolescent “endo”

In another report, 129 adolescent girls with endometriosis received progesterone for 11 months – with some positive effects in terms of relief fo pain. The mechanism may be through reductions in blood flow. Side effects included headache, nausea, hot flushes … Continue reading

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Alternative “endo”

The role of alternative treatments in endo is unclear. Given that conventional treatment has little impact on injuries to autonomic nerves, there may be a case for wider use of alternative treatments. Particularly – in nulliparous women who are having … Continue reading

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Endometriosis in BJOG

The editor of the British Journal of Obstetrics and Gynaecology, Professor Phil Steer, was kind enough to publish a brief note on the causes of gynaecology in the UK this month in response to an important (technical) article on MR … Continue reading

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Endo in China 1

Endometriosis is common in China. No figures but pelvic pain is the commonest reason for women to attend the gynaecological clinic. BUT it’s distribution is entirely different from that in the UK. As a consequence of the “one-child policy” many … Continue reading

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Commentary on “DIE”

The accompanying commentary on “deep infiltrating endometriosis” (DIE) – sounds awful doesn’t it ? – in BJOG (February 2011) makes the point that this is nothing less than a “major surgical challenge”. The pelvic anatomy is distorted, the endometriosis “infiltrates” … Continue reading

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