Monika Wróbel1, Mirosław Wielgoś1, Piotr Laudański2. 1. 1st Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland. 2. 1st Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland; Oviklinika Infertility Center, Warsaw, Poland. Electronic address: piotr.laudanski@wum.edu.pl.
Abstract
PURPOSE: The purpose of this article is to provide a modern perspective on the diagnosis of endometriosis with particular attention to the role of ultrasound examination. In the present study, we highlight the problem of endometriosis in teenage girls and discuss the patients' perspective on the diagnostic process. METHODS: In order to present the most recent reports on the diagnosis of endometriosis, the PubMed database was searched. Articles published within the last 3 years (2019-2021) and those considered relevant during the bibliographic review were analyzed. RESULTS: The role of ultrasound examination and assessment of patients' perspective related to delayed and incorrect diagnosis were considered to be the most important in the recent reports. Attention was also paid to the problem of endometriosis diagnosis in adolescent girls. CONCLUSIONS: Appropriately constructed and used questionnaires help to determine the risk of endometriosis in a particular patient. The primary method for diagnosis is extended ultrasound examination, which should be performed especially in patients with a high risk of developing the disease. This procedure is applicable to both adult and adolescent women. Awareness of the possibility of developing the disease in a particular patient, combined with appropriate use of ultrasound examination, can contribute to the decrease in diagnostic delay.
PURPOSE: The purpose of this article is to provide a modern perspective on the diagnosis of endometriosis with particular attention to the role of ultrasound examination. In the present study, we highlight the problem of endometriosis in teenage girls and discuss the patients' perspective on the diagnostic process. METHODS: In order to present the most recent reports on the diagnosis of endometriosis, the PubMed database was searched. Articles published within the last 3 years (2019-2021) and those considered relevant during the bibliographic review were analyzed. RESULTS: The role of ultrasound examination and assessment of patients' perspective related to delayed and incorrect diagnosis were considered to be the most important in the recent reports. Attention was also paid to the problem of endometriosis diagnosis in adolescent girls. CONCLUSIONS: Appropriately constructed and used questionnaires help to determine the risk of endometriosis in a particular patient. The primary method for diagnosis is extended ultrasound examination, which should be performed especially in patients with a high risk of developing the disease. This procedure is applicable to both adult and adolescent women. Awareness of the possibility of developing the disease in a particular patient, combined with appropriate use of ultrasound examination, can contribute to the decrease in diagnostic delay.
Authors: Ksawery Goławski; Robert Soczewica; Joanna Kacperczyk-Bartnik; Grzegorz Mańka; Mariusz Kiecka; Michał Lipa; Damian Warzecha; Robert Spaczyński; Piotr Piekarski; Beata Banaszewska; Artur Jakimiuk; Tadeusz Issat; Wojciech Rokita; Jakub Młodawski; Maria Szubert; Piotr Sieroszewski; Grzegorz Raba; Kamil Szczupak; Tomasz Kluz; Marek Kluza; Mirosław Wielgoś; Ewa Koc-Żórawska; Marcin Żórawski; Piotr Laudański Journal: Int J Environ Res Public Health Date: 2022-09-14 Impact factor: 4.614