Download Free Medical ENDOMETRIOSIS - WHAT IS THE GENERAL PRACTICE APPROACH PowerPoint Presentation

ENDOMETRIOSIS - WHAT IS THE GENERAL PRACTICE APPROACH PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Endometriosis, which is titled "ENDOMETRIOSIS - WHAT IS THE GENERAL PRACTICE APPROACH?", to know about the general practice approach in endometriosis.

Tags : Endometriosis, general practice approach

Published on : Jul 28, 2021 | Views : 1443 | Downloads : 6

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

ENDOMETRIOSIS WHAT IS THE GENERAL PRACTICE APPROACH?
Slide 2-

ppt slide no 2 content not found
Slide 3-

ppt slide no 3 content not found
Slide 4-

ppt slide no 4 content not found
Slide 5-

ppt slide no 5 content not found
Slide 6-

FIRST – A FEW QUESTIONS! IS TREATMENT ALWAYS REQUIRED? WHO NEEDS TREATMENT? DOES ANY TREATMENT REALLY WORK? DOES TREATMENT IN YOUNG WOMEN PREVENT INFERTILITY AND PROGRESSION?
Slide 7-

I DON’T HAVE THE ANSWERS ENDOMETRIOSIS PROGRESSES IN MOST CASES OF MODERATE AND SEVERE DISEASE SPON REGRESSION CAN OCCUR IN UP TO 58% OF MILDER CASES NATURAL HISTORY IS STILL UNCHARTED TO A LARGE EXTENT
Slide 8-

HOWEVER---- MEDICAL TREATMENTS AND SURGERY FAIL TO ARREST DISEASE IN UP TO A THIRD COMBINATIONS OF TREATMENTS HAVE ALSO FAILED TO CONTROL DISEASE FOR INDEFINITE PERIODS WHEN FOLLOWED UP PREGNANCY HAS A VARIABLE EFFECT ON ENDOMETRIOSIS—PERSISTENCE, REGRESSION AND PROGRESSION
Slide 9-

AND ALSO--------- ENDOMETRIOSIS MAY OCCUR IN THE EARLY MENOPAUSE, USUALLY IN ASSOCIATION WITH HRT LAPAROSCOPIC ABLATION OF VISIBLE ENDO IN INFERTILE WOMEN IS ASSOC WITH SIGNIFICANTLY INCREASED FERTILITY RATES THERE IS NO DATA REGARDING EARLY INTERVENTION WRT PREVENTION
Slide 10-

ppt slide no 10 content not found
Slide 11-

ppt slide no 11 content not found
Slide 12-

ppt slide no 12 content not found
Slide 13-

PREVALENCE NOT PRECISELY KNOWN—2-5% 20-40% OF WOMEN IN INFERTILE COUPLE RELATIONSHIPS VS 5% OF FERTILE WOMEN BUT ALSO FOUND IN 6-43% OF WOMEN UNDERGOING LAPAROSCOPIC STERILIZATION 52% OF TEENAGES WITH CPP SYNDROME
Slide 14-

Familial association Relative Risk to siblings 2.3 overall Relative Risk to sibs if severe endo 15
Slide 15-

Risk factors Single/nulliparous Early menarche Non oral contraception Non smoker shorter cycle/longer duration of flow Dysplastic naevus syndrome, melanoma
Slide 16-

symptoms 90% severe dysmenorrohoea 70% chronic pelvic pain 75% dyspareunia 55% infertility
Slide 17-

Infertility mechanisms
Slide 18-

ppt slide no 18 content not found
Slide 19-

Treatment of pain NSAIDS: all significantly better than placebo, studies vary which one is best Naproxen >mefanemic acid>aspirin Naproxen=ibuprofen Naproxen only drug with significant SEs
Slide 20-

treatment of menstrual pain Treatment level of evidence Simple analgesics 1 Herbal remedies 1 alcohol 2 Antidepressants/anxiolytics 2 OCPs 1 NSAIDS 3
Slide 21-

ENDOMETRIOSIS PAIN PSYCO-PHYSICAL TREATMENTS-ACCUPUNCTURE, MESSAGE, RELAXATION, TENS EXERCISE ANTI-OESTROGEN DRUGS LAPAROSCOPY/ OPEN SURGERY
Slide 22-

LIMITATIONS OF DRUG THERAPY ONLY SHRINKS SOME TYPES OF ENDOMETRIOSIS WHICH ARE OESTROGEN SENSITIVE IE RED AND BLISTER APPEARANCE NOT BROWN, BLACK AND WHITE SHRINKAGE NOT COMPLETE- USUALY LEAVES MICRO DISEASE RESULTS FOR INFERTILITY TREATMENT NO BETTER THAN NO TREATMENT DOES NOT DEAL WITH ADHESIONS
Slide 23-

META-ANALYSIS MIN/MILD ENDOMETRIOSIS
Slide 24-

ppt slide no 24 content not found