Abdominal-pelvic pain in female patients with endometriosis - a review of the literature

Authors

Cristinel Dumitru Badiu, Carol Davila University, Bagdasar Arseni Clinical Hospital, Department of Surgery, Bucharest, RomaniaFollow
Marina Romina Sima, Carol Davila University, Department of Obstetrics and Gynecology, Bucharest, Romania
Claudia Mehedintu, Carol Davila University, Department of Obstetrics and Gynecology, Bucharest, Romania
Bogdan Mastalier, Carol Davila University, Colentina Clinical Hospital, Department of Surgery, Bucharest, Romania
Mihaela Mandu, Carol Davila University, Bagdasar Arseni Clinical Hospital, Department of Surgery, Bucharest, Romania
Liliana Florina Andronache, Carol Davila University, Faculty of General Medicine, Bucharest, Romania
Dan Nicolae Paduraru, Carol Davila University, Department of Surgery, The University Emergency Hospital Bucharest, Romania
Anca Mihaela Pantea Stoian, Carol Davila University, Department of Diabetes, Nutrition and Metabolic Diseases, Bucharest, RomaniaFollow
Valentin Titus Grigorean, Carol Davila University, Bagdasar Arseni Clinical Hospital, Department of Surgery, Bucharest, Romania

Abstract

Abdominal-pelvic pain is the dominant symptom in endometriosis, one of the most common pathologies that affect women, being also a multifactorial disorder. Exploratory laparoscopy allows the correct assessment of the location as well as severity and extent of the lesions, thus representing the current gold standard in diagnosis. The correlation of pain intensity with the evolutionary stage of endometriosis is inconstant. Surgical treatment, preferably performed laparoscopically, includes the excision of the ectopic endometrium, having as a primary objective the control of persistent pain and the removal of all endometriotic foci. This procedure helps to improve the life quality of the patient, to reduce relapses, to control postoperative pain, and to eliminate the disease. Pre- and post-operative adjuvant medical treatment is used due to its effects on the symptomatology, prolonging the asymptomatic period of the disease. Despite the use of the above procedures, there are cases in which the abdominal-pelvic pain persists even after surgery, which makes endometriosis a significant challenge for both the specialist and the patient, as well as for the medical system itself, as the study of the pathogenic mechanisms is yet the subject of numerous studies. Nutritional education in these patients is essential, given the recommendation to restrict the range of foods and to increase other foods that have an important role in reducing the risk or even leading to regression of the endometrial pathology.

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Recommended Citation

Badiu, Cristinel Dumitru; Sima, Marina Romina; Mehedintu, Claudia; Mastalier, Bogdan; Mandu, Mihaela; Andronache, Liliana Florina; Paduraru, Dan Nicolae; Pantea Stoian, Anca Mihaela; and Grigorean, Valentin Titus (2018) "Abdominal-pelvic pain in female patients with endometriosis - a review of the literature," Journal of Mind and Medical Sciences: Vol. 5: Iss. 2, Article 3.
DOI: https://doi.org/10.22543/7674.52.P158162
Available at: https://scholar.valpo.edu/jmms/vol5/iss2/3