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Endometriosis Protocols?

Endometriosis Protocols?


Answer

  1. Thank you for your question.

    There are numerous useful resources available online:

    https://www.isuog.org/resource/a-practical-guide-to-the-diagnosis-and-surgical-management-of-endometriosis-and-assessment-of-women-with-pelvic-paib.html  

    https://onlinelibrary.wiley.com/doi/full/10.1002/jum.16129

     

    We do not currently have a protocol for endometriosis, however some practices use a checklist, which may include looking for endometriosis markers on a  transvaginal examination, (if clinically indicated) which includes:

    Adenomyosis, endometriomas, question mark sign (fixed uterine anteversion and/or retroflexion), site specific tenderness, ovarian mobility, fixed/kissing ovaries(fixed together), fallopian tube distortion, the sliding sign(rectum glides freely over cervix), posterior cul-de-sac obliteration and deep infiltrating endometriosis nodules in anterior and posterior compartments.  

     

    The ASA is currently investigating hands-on training options.

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