RESUMO
A panel of experts in the field of endometriosis expressed their opinions on management options in a 28-year-old patient, attempting pregnancy for 1 year, with severe cyclic pelvic pain and with clinical examination and imaging techniques suggestive of adenomyosis. Many questions this paradigmatic patient may pose to the clinician are addressed, and all clinical scenarios are discussed. A decision algorithm derived from this discussion is also proposed.
Assuntos
Adenomiose/diagnóstico , Endometriose/diagnóstico , Complicações na Gravidez/diagnóstico , Adenomiose/terapia , Adulto , Algoritmos , Tomada de Decisão Clínica , Endometriose/terapia , Feminino , Humanos , Histeroscopia/métodos , Imageamento por Ressonância Magnética , Imagem Multimodal , Avaliação das Necessidades , Exame Físico/métodos , Cuidado Pré-Concepcional/métodos , Gravidez , UltrassonografiaRESUMO
A panel of experts in the field of endometriosis expressed their opinions on management options in a 35-year-old patient desiring pregnancy with a history of previous surgery for endometrioma and bowel obstruction symptoms. Many questions that this paradigmatic patient may pose to the clinician are addressed, and various clinical scenarios are discussed. A decision algorithm derived from this discussion is proposed as well.