Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis

Reduced pain and increased fertiliy rates after surgery for colorectal endometriosis By Selma Oransay

This prospective cohort study which recently published in AOGS by Hudelist et al. from Oslo University, Norway is about their one hundred thirty-four laparoscopic operations of DIE cases performed between 2011 and  2016, in a tertiary center in Oslo. The…

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Endometrioma and endometriosis

Endometrioma and endometriosis By Irem Onur

Exacoustos C. et al. published an article titled “The isolated ovarian endometrioma: a history between myth and reality” in the Journal of Minimally Invasive Gynecology in 2018. They aimed to examine the association between ovarian endometriomas detectable at the transvaginal ultrasound…

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Endometriosis in adolescents

Endometriosis in adolescents By Irem Onur

Dr. Mama S. T. from Cooper University Hospital, Camden, New Jersey, USA, recently has published his review on advances in the management of endometriosis in the adolescent in the journal “Current Opinion Obstetrics and Gynecology”. In adolescence, there is a…

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A Better Way to Diagnose Endometriosis?

A Better Way to Diagnose Endometriosis? By Özge Özkaya

Three proteins found in the blood and endometrial tissues could be used to determine the stage of endometriosis and the severity of painful periods according to a study published in the journal Current Medical Science. Evaluating the levels of these…

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Pain and emotion regulation predict health-related quality of life

Pain and emotion regulation predict health-related quality of life By Deniz Kocas

Studies have established that pain in endometriosis is negatively correlated with HRQL and that endometriosis is associated with psychological problems, anxiety, depression, distress and poor coping ability. It has been observed that some mental conditions associated with endometriosis are modulated…

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Women recommended laparoscopy for chronic pelvic pain

Women recommended laparoscopy for chronic pelvic pain By Irem Onur

Chronic pelvic pain is a diagnostic and therapeutic dilemma. It has many etiologies in many organ systems. Clinician and patient factors affect the management of chronic pelvic pain. Mirowska-Allen K.L. et al. have recently published an article titled, “The characteristics of…

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Complementary treatments for endometriosis symptoms: acupuncture, exercise, electrotherapy, or yoga?

Complementary treatments for endometriosis symptoms: acupuncture, exercise, electrotherapy, or yoga? By Yu Yu

Endometriosis is associated with debilitating symptoms in some women including dysmenorrhea, chronic pelvic pain, deep dyspareunia, dyschezia, and dysuria. There are a few therapeutic options to treat these symptoms; however, only a few studies have considered treating the pain symptoms…

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Comparing opioid and nonopioid therapy for chronic pain

Comparing opioid and nonopioid therapy for chronic pain By Deniz Kocas

Over the last few decades, North-America and Europe show continued increase in prescription rates of opioids. Evidence shows significant pain reduction with opioids in the short term compared to placebo, however whether opioids are superior to non-opioids even in the…

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Impact of coping strategies on quality of life of adolescents and young women with endometriosis.

Impact of coping strategies on quality of life of adolescents and young women with endometriosis. By Deniz Kocas

González-Echevarría et al. report in J Psychosom Obstet Gynaecol. that symptoms caused by endometriosis have been found to be associated with negative quality of life (QoL) in women with endometriosis and the type of coping strategies adopted by patients have been shown…

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Health-related quality of life in women with Endometriosis and Rheumatoid Arthritis

Health-related quality of life in women with Endometriosis and Rheumatoid Arthritis By Murat Osman

Endometriosis is a chronic inflammatory disease that is defined by the presence of ectopic endometrial tissue outside of the uterus. Unfortunately, endometriosis continues to be a leading cause of chronic pelvic pain and long-term morbidity in women of reproductive age.…

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N-acetyl cysteine, alpha lipoic acid and bromelain improved endometriosis-associated pelvic pain

N-acetyl cysteine, alpha lipoic acid and bromelain improved endometriosis-associated pelvic pain By Yu Yu

Oxidative stress has been implicated in many processes that lead to the development and progression of endometriosis. Typically, women with endometriosis have to endure pelvic pain which negatively impacts their quality of life. Pelvic pain can be chronic and related…

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Detecting endometriosis using peripheral blood

Detecting endometriosis using peripheral blood By Yu Yu

Laparoscopic visualization of endometriotic lesions with histological confirmation is the gold standard for the diagnosis of endometriosis. However, this diagnostic procedure, due to the need for laparoscopy and variability of disease/symptoms, can have a major delay up to 8-10 years…

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Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction

Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction By Deniz Kocas

Cognitive appraisals have been shown to have an effect on the experience of pain. Notably, perceived injustice and pain catastrophizing have been shown to play a role, but are rarely examined together. In addition, variability in appraisal processes has been…

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Alternative Solutions: Neuromuscular Electrical Stimulation for Endometriosis Pain

Alternative Solutions: Neuromuscular Electrical Stimulation for Endometriosis Pain By Kasthuri Nair

Bi and Xie, researchers from The Yan’an People’s Hospital, recently published the results of their retrospective study titled “Effect of neuromuscular electrical stimulation for endometriosis-associated pain” in Medicine. The study hoped to elucidate the effects of using a complementary and…

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Predictors of psychological distress

Predictors of psychological distress By Deniz Kocas

Studies have now established that endometriosis can negatively impact mental health and quality of life, however, some studies show that not all women with endometriosis are necessarily more distressed than healthy women. This suggests that individual differences may explain women’s’…

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Oral Contraceptives and Low-Cost Progestins to Reduce Endometriosis-Associated Pain

Oral Contraceptives and Low-Cost Progestins to Reduce Endometriosis-Associated Pain By Özge Özkaya

Most women with endometriosis-associated pain did not feel the need to use expensive progestin or undergo surgery. Instead, they were satisfied with a low-cost progestin to treat their symptoms. This is according to a study published in the journal Fertility…

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Pain cognition and pain intensity are negatively associated with health-related quality of life

Pain cognition and pain intensity are negatively associated with health-related quality of life By Deniz Kocas

Pain is a personal experience and is different for every individual. Catastrophizing, fear of pain, and hypervigilance to pain are important factors that contribute to pain perception. These factors are described as pain cognition and refer to the negative appraisal…

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Contraceptives for the management of endometriosis pain

Contraceptives for the management of endometriosis pain By Murat Osman

Endometriosis is a common gynecologic disease that affects many women of reproductive age and is associated with significant morbidity. One of the treatment options for women with endometriosis is the use of oral contraceptives (OCPs) for pain management. However, its…

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Could Gabapentin Make my Pain Go Away?

Could Gabapentin Make my Pain Go Away? By Özge Özkaya

Gabapentin could effectively reduce endometriosis-associated pain, according to a new study published in the Journal of Pain Research. The study that was conducted in mice and endometriotic tissues from patients suggests that certain proteins present on the surface of cells…

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Potential Study: Can Omega-3 purified Fatty Acids Treat Endometriosis Pain?

Potential Study: Can Omega-3 purified Fatty Acids Treat Endometriosis Pain? By Kasthuri Nair

Abokhrais et al. published a paper titled “A pilot randomized double-blind controlled trial of the efficacy of purified fatty acids for the treatment of women with endometriosis-associated pain (PurFECT): study protocol” in Pilot and Feasibility Studies. The aforementioned authors are…

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Endometriosis in a Man as a Rare Source of Abdominal Pain

Endometriosis in a Man as a Rare Source of Abdominal Pain By Dr. Youngran Park

Endometriosis occurs when a tissue resembling endometrial glands and stroma grows in ectopic sites, commonly causing infertility and pain. Endometriosis has largely been found in women of reproductive age. However, in extremely rare cases, it is also found in men…

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Coping with vulvovaginal pain in intimate situations

Coping with vulvovaginal pain in intimate situations By Deniz Kocas

Chronic vulvovaginal pain has a serious impact on women’s lives, affecting daily activities including sexual activities. Avoiding sexual activity has been shown to be a central coping strategy in other pain populations and has also been seen in women with…

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Deep Infiltrating Endometriosis Impairs Sexual Function

Deep Infiltrating Endometriosis Impairs Sexual Function By Kasthuri Nair

Lima et al., a group of scientists from Hospital do Servidor Público Estadual in Brazil, recently published an article entitled “Female Sexual Function in Women with Suspected Deep Infiltrating Endometriosis” in Revista Brasileira De Ginecologia E Obstetricia. The paper analyzed…

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Thoracic Endometriosis Syndrome : A case report describing endometriosis involvement of the lung

Thoracic Endometriosis Syndrome : A case report describing endometriosis involvement of the lung By Murat Osman

Leonardo-Pinto and authors from the Universidade Estadual de Campinas, Brazil, have recently published a case report titled, "Hemoptysis and Endometriosis: An Unusual Association - Case Report and Review of the Literature" in the Journal, Revista Brasileira De Ginecologia E Obstetricia describing a…

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Exercise can improve pelvic pain and posture associated with endometriosis

Exercise can improve pelvic pain and posture associated with endometriosis By Yu Yu

Nearly half of women affected by endometriosis have mild to severe chronic pelvic pain (CPP). Clinically, postural changes are frequently seen in CPP sufferers. These postural changes can include uneven positions, shortenings, antalgic postures, and tensions. Moreover, endometriosis is also…

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Treatment of Endometriosis in Adolescents

Treatment of Endometriosis in Adolescents By Özge Özkaya

Most women with endometriosis who have been treated with Lupron plus add back as adolescents felt the treatment was effective in reducing the pain caused by the condition, according to a study published in the Journal of Pediatric & Adolescent…

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Adolescents with Endometriosis are More Susceptible to Migraines

Adolescents with Endometriosis are More Susceptible to Migraines By Kasthuri Nair

Miller et al. recently published an article titled “The prevalence of migraines in adolescents with endometriosis” in Fertility and Sterility. The main purpose of the study was to determine if adolescents with endometriosis experience more migraines than those without endometriosis.…

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"New Pain Dairy" Could Help Better Evaluate the Impact of Endometriosis on Women’s Daily Lives

By Özge Özkaya

Researchers developed a new patient-reported endometriosis pain daily diary.  The diary can help evaluate endometriosis-related pain and the impacts this can have on patients' lives as well as be used in clinical trials to assess patients’ response to treatment. “The…

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The Long-Term Effect of Endometriosis

The Long-Term Effect of Endometriosis By Özge Özkaya

Women with endometriosis have a decreased pain tolerance even after fertile age and therefore require long-term treatment and psychological support Endometriosis has a long-term effect on the pain tolerance of women, suggests a study published in The Journal of Pain.…

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An Unusual Case "Free Floating Omental Endometrioma"

An Unusual Case By Kasthuri Nair

Capaccione et al. published an article in Radiology Case Reports titled “Massive endometrioma presenting with dyspnea and abdominal symptoms.” This publication is centered around a particularly unique case report of a woman who was ultimately diagnosed with endometriosis. The patient…

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Does Endometriosis Cause Infertility?

Does Endometriosis Cause Infertility? By Özge Özkaya

Infertility may be related to the localization of endometriosis involvement according to a study published in the Journal of Obstetrics and Gynaecology. This finding is in agreement with the results of previous studies and could help clinicians in their decision…

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Irritable bowel syndrome and endometriosis.

Irritable bowel syndrome and endometriosis. By Dr. Youngran Park

Irritable bowel syndrome (IBS) and endometriosis are two diseases affecting a significant part of the female population, either together or individually, with remarkable consequences in the quality of life. Several studies suggest an epidemiological association between them. Their association may…

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The Challenging Path to Diagnosis

The Challenging Path to Diagnosis By Kasthuri Nair

Kallia O. Wright, a professor at Illinois College, recently published her essay titled “You have Endometriosis”: Making Menstruation Related Pain Legitimate in a Biomedical World” in Health Communication. This essay delineates the author’s experience with endometriosis. The author started experiencing…

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Switching to a Low-Cost Progestin May Help Reduce Endo Pain When Oral Contraceptives Won’t Work

Switching to a Low-Cost Progestin May Help Reduce Endo Pain When Oral Contraceptives Won’t Work By Özge Özkaya

The majority of women with endometriosis-associated pain were satisfied to have switched to a treatment with norethisterone acetate or NETA, a synthetic, orally active progestin, when their oral contraceptive was ineffective, found a study published in the journal Reproductive Sciences.…

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Endometriosis “Changes” the Brain

Endometriosis “Changes” the Brain By Özge Özkaya

Endometriosis changes the electrical properties of the brain as well as gene expression, according to a study by Yale researchers. These changes increase sensitivity to pain, anxiety, and depression. “While medications can be used to treat endometriosis directly, the effects…

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Laparoscopic Bowel Resection Can Be Beneficial Rectosigmoid Endometriosis

Laparoscopic Bowel Resection Can Be Beneficial Rectosigmoid Endometriosis By Kasthuri Nair

Riiskjær et al. recently published a paper titled “Pelvic Pain and Quality of Life Before and After Laparoscopic Bowel Resection for Rectosigmoid Endometriosis: A Prospective, Observational Study” in Diseases of the Colon & Rectum. This paper focuses on the effects…

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The Use of Resveratrol as an Adjuvant Treatment of Pain in Endometriosis

The Use of Resveratrol as an Adjuvant Treatment of Pain in Endometriosis By Dr. Youngran Park

Endometriosis is considered a predominantly estrogen-dependent disease, and therefore hormonal suppression might be an attractive medical approach to treat this disease and its symptoms. Resveratrol is a natural phytoestrogen synthesized by plants and has known to have side effects such…

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A Novel Questionnaire-based Approach for Assessing Endometriosis Pain

A Novel Questionnaire-based Approach for Assessing Endometriosis Pain By Kasthuri Nair

Fauconnier et al. recently published a paper in the Journal of Gynecology Obstetrics and Human Reproduction titled “A self-administered questionnaire to measure the painful symptoms of endometriosis: Results of a modified DELPHI survey of patients and physicians” that seeks to…

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Dienogest Use Over A Prolonged Period of Time

Dienogest Use Over A Prolonged Period of Time By Kasthuri Nair

There are not a lot of treatments on the market for endometriosis; however, Dienogest (DNG), a progestin that has high selective progesterone activity along with low androgenic activity, has been found to reduce endometriosis-associated pain. Lee et al. recently published…

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Stress affects endometriosis negatively

Stress affects endometriosis negatively By Demet Candaş Green

Stress contributes to many chronic health problems – endometriosis is one of them. Given that women with endometriosis are under more stress and pain, often with the added stress of infertility, it is important to understand the relationship between stress…

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Increased Period Pain in Endometriosis Is Linked to Estrogen

Increased Period Pain in Endometriosis Is Linked to Estrogen By Özge Özkaya

Researchers in China shed light on the mechanism of how the female sex hormone estrogen may be linked to increased period pain in women with endometriosis. A better understanding of the biological mechanism leading to pelvic pain in endometriosis could…

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A Combination Treatment of Psychotherapy With Somatosensory Stimulation for Pain Reduction

A Combination Treatment of Psychotherapy With Somatosensory Stimulation for Pain Reduction By Kasthuri Nair

Women suffering from endometriosis often cite pelvic pain, anxiety, and depression as some of the worst core symptoms experienced due to the disease; however, emerging research has shown these signs, specifically pelvic pain, may be influenced by psychological trauma. In…

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Effects of acupuncture for the treatment of endometriosis-related pain

Effects of acupuncture for the treatment of endometriosis-related pain By Murat Osman

Acupuncture has been seen to offer chronic pain relief most likely due to multiple effects including analgesia and anti-inflammatory changes. Current therapy for endometriosis includes pharmacological and surgical methods. Symptom relief using other supplementary therapies such as acupuncture has been…

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Endometriosis May Be Causing Women to Become More Sensitive to Pain

Endometriosis May Be Causing Women to Become More Sensitive to Pain By Özge Özkaya

Inflammation caused by endometriosis may be changing the way a woman perceives pain, found a new study published in the journal Regional Anesthesia and Pain Medicine.   According to Dr. Neziri Alban at University Hospital of Bern, Switzerland and the co-authors…

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A New VAS-based Diagnostic Tool for Interpreting Pain

A New VAS-based Diagnostic Tool for Interpreting Pain By Kasthuri Nair

The visual analog scale (VAS) is a diagnostic tool used by health care providers to evaluate chronic pain in women with endometriosis. In their publication titled “Minimal clinically important difference for pain on the VAS scale and the relation to…

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Pain Cognition Impacts Health Related Quality of Life in Women with Endometriosis

Pain Cognition Impacts Health Related Quality of Life in Women with Endometriosis By Özge Özkaya

The cognition of pain is an important factor influencing health-related quality of life in women with endometriosis, suggests a study published in the scientific journal Fertility and Sterility.   This finding is important because it can help doctors treat pain in…

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A New Treatment Time-Table for Controlling Endometriosis-Associated Pelvic Pain

A New Treatment Time-Table for Controlling Endometriosis-Associated Pelvic Pain By Kasthuri Nair

It is no secret that Endometriosis is an extremely painful disease. Unfortunately, science has yet to determine a treatment that can effectively treat the disease or the associated pain. In their paper titled “Ethinylestradiol 20 mg/drospirenone 3 mg in a…

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Is there any association between menstrual pain and ovarian cancer?

Is there any association between menstrual pain and ovarian cancer? By Yu Yu

Inflammation may be important in ovarian carcinogenesis. Epidemiological studies show that inflammatory conditions such as endometriosis and pelvic inflammatory disease have been associated with an increased risk of ovarian cancer, while regular use of non-steroidal anti-inflammatory drugs has reduced associated…

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Cohort study on outcomes of laparoscopic endometriosis surgery

Cohort study on outcomes of laparoscopic endometriosis surgery By Yu Yu

Laparoscopic surgery followed by histological confirmation is considered a standard for diagnosis, staging, and treatment of endometriosis. Radical and conservative surgical approaches are often required for the removal of endometriotic lesions in the case of vaginal or rectal wall deep…

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Comprehensive review on the drug delivery options being used for endometriosis and uterine fibroids.

Comprehensive review on the drug delivery options being used for endometriosis and uterine fibroids. By Murat Osman

Both endometriosis and uterine fibroids (uterine leiomyomas) contribute to infertility, chronic pain, and dysmenorrhea across the world. Thus, drug delivery methods ranging from contraceptives to biochemical systems based on nanotechnology are currently being used and developed. Specifically, long-acting implantable contraceptives…

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Women with endometriosis are increasingly seeking alternative medical therapies for symptom relief

Women with endometriosis are increasingly seeking alternative medical therapies for symptom relief By Murat Osman

Cyclic premenstrual pain and discomfort (CPPD) encompasses a number of symptoms commonly experienced by many women including premenstrual syndrome (PMS) and is experienced by both women with and without endometriosis. CPPD includes physical and emotional symptoms associated with menstruation including…

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Severe Dyspareunia is Related with "Cul-de-sac" and "Uterosacral Ligament" Endometriosis

 Severe Dyspareunia is Related with By Murat Osman

Endometriosis and especially deep infiltrating endometriosis has been associated with an increased risk of severe dyspareunia. Studies reporting the anatomical sites associated with deep dyspareunia and the severity of pain, and the risk factors of these anatomic sites are incongruent;…

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Endometriosis : A Whole Body Disease

Endometriosis : A Whole Body Disease By Kasthuri Nair

Endometriosis is a disease that impacts multiple parts of an individual’s body. Seminars in Reproductive Medicine recently published a paper by Alderman III et al. entitled “The Systemic Effects of Endometriosis” explores the various comorbidities that can affect individuals suffering…

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Reduced vascularization in ovarian endometriomas associated with less pain

Reduced vascularization in ovarian endometriomas associated with less pain By Yu Yu

Angiogenesis, i.e., the development of new blood vessels is believed to play an important role in endometriosis pathogenesis and symptoms. Endometriosis is associated and requires neovascularization to proliferate, invade surrounding normal structure in order to establish an endometriotic lesion. Ovarian…

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Combo Therapy of Micronized palmitoylethanolamide/trans-polydatin for Endometriosis Pain

Combo Therapy of Micronized palmitoylethanolamide/trans-polydatin for Endometriosis Pain By Kasthuri Nair

Endometriosis is a painful illness and many researchers in the field work to offer women with the disease some form of respite from the suffering. Indraccolo, Indraccolo, and Mignini are three such researchers and they recently published a paper titled…

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Sexual Pain in Endometriosis

Sexual Pain in Endometriosis By Yu Yu

Pelvic pain during sexual intercourse (deep dyspareunia) is a major concern for women with endometriosis. As many as half of women with endometriosis experience deep dyspareunia and has been shown to have a detrimental impact on quality of life. The…

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Is it Estrogen that Regulates Endometriosis Pain?

Is it Estrogen that Regulates Endometriosis Pain? By Yu Yu

Endometriosis-associated pain is a debilitating condition; however, it is surprising that the perceived pain has no correlation to the endometriosis extent. The mechanism that causes the pain is also poorly understood. Nerve growth factor is enhanced in endometriosis and may increase…

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Dienogest for endometriosis pain in clinical practice

Dienogest for endometriosis pain in clinical practice By Yu Yu

Dienogest is a synthetic progestogen that has been marketed as a medical treatment for endometriosis. Previous randomized controlled clinical trials have shown that it is effective in women with endometriosis at different stages of the disease. Given its recent introduction,…

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Inhibition of key neurotransmitter could reduce endometriosis-related pain

Inhibition of key neurotransmitter could reduce endometriosis-related pain By Asli Bahadirli Talbott

This study published in the scientific journalMolecular MedicineReports[link] by Lian et al. from Shanghai, China, aims to explore the relationship between transient receptor potential vanilloid type 1 (TRPV1) and endometriosis-associated pain. Pain is the most common symptom for women with…

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The Symptomatic Impact of Endometriosis

The Symptomatic Impact of Endometriosis By Kasthuri Nair

Endometriosis is a painful illness that affects the lives of many women around the world. A recent article published in Journal of Psychosomatic Obstetrics & Gynecology titled “The burden of endometriosis symptoms on health-related quality of life in women in…

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Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist.  

Treatment of Endometriosis-Associated Pain with Elagolix, an Oral GnRH Antagonist.   By Yu Yu

Taylor et al. presented an exciting recent study in The New England Journal of Medicine. This article reported the results from a multicentre, double-blind, randomized, placebo-controlled phase 3 trials of elagolix for the treatment of endometriosis-associated pain. As women with…

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Women with endometriosis suffer from anxiety and depression

Women with endometriosis suffer from anxiety and depression By Demet Candaş Green

Endometriosis is considered a disabling condition that may significantly affect social relationships, sexuality and mental health of patients. Women who suffer from endometriosis report high levels of anxiety and depression and other psychological disorders. In this review article, the authors…

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Patient-completed or symptom-based screening tools for endometriosis: a scoping review.

Patient-completed or symptom-based screening tools for endometriosis: a scoping review. By Karime Kalil Machado

Endometriosis affects approximately 10% of women in reproductive age. Its clinical presentation is variable, and symptoms, such as chronic pelvic pain, may overlap with those of other benign conditions, making differential diagnosis challenging. Therefore, a patient-completed screening questionnaire could potentially…

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Does laparoscopic excision or laparoscopic ablation offer the best long-term pain relief from endometriosis?

Does laparoscopic excision or laparoscopic ablation offer the best long-term pain relief from endometriosis? By Murat Osman

This systematic and meta-analysis of several studies aimed to compile data regarding the reduction of dysmenorrhea (menstrual pain), dyschezia (difficult defecation), dyspareunia (painful sexual intercourse), chronic pelvic pain and Endometriosis Health Profile (EHP-30) score 2-12 months after treatment. Visual analog scale (VAS)…

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New Molecular Targets for the Treatment of Endometriosis-Associated Pain

New Molecular Targets for the Treatment of Endometriosis-Associated Pain By Ezio Rosato

The study identifies potential new targets for alleviating chronic pelvic pain that afflicts many women with endometriosis. A new study published in the scientific journal Redox Biology shows that molecules called microRNAs could be a potential new target to combat…

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Elagolix (ABT-620) for endometriosis pain?

Elagolix (ABT-620) for endometriosis pain? By Yu Yu

Elagolix is an orally active gonadotropin-releasing hormone antagonist that has just recently completed Phase 3 clinical trial for endometriosis-associated pain (NCT01931670). The review article by Alessandro et al in Archives of Gynecology and Obstetrics summarized the current research findings on…

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