دانلود کتاب اندومتریوز و آدنومیوز – چشم اندازهای جهانی در طول عمر

Endometriosis as a disease has many faces. That might explain why it is called a chameleon. And once suspected or diagnosed, it is hard to estimate the extent of the disease; thus, it has been compared with an iceberg as a major part of the tumor is hiding under the surface. Endometriosis is benign but infiltrating; even though infiltration rarely turns malignant, it is hormone dependent yet cannot be cured by hormones. Hypotheses of its origin are multifold, and treatment options are very limited. Unfortunately, the interval from onset of symptoms to diagnosis of endometriosis on average takes years which is by far too long and effectively means suffering of predominantly young women in the prime years of their lives. In association with underdiagnosing and under treatment are negative impacts on performance at work, school and university, sexual life, family relationship, and social activities. Once diagnosed, the dilemma continues as medical treatment of endometriosis often interferes with family planning for couples because most hormonal therapies exert contraceptive effects, often requiring assisted reproductive technologies. This is particularly true as in most developed countries couples desiring a child are beyond their thirties, which adds another fertility-reducing factor to endometriosis. Following an often-unsuccessful medical treatment of endometriosis surgery remains the only choice for reducing pain and invasion into other organs. However, since the difficulty of surgery exponentially increases with the extent of the disease, severe stages of endometriosis and adenomyosis require experts not only for diagnosis but also for treatment.