Latest & greatest articles for endometriosis

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Top results for endometriosis

81. Laparoscopic helium plasma coagulation for the treatment of endometriosis (IPG171)

Laparoscopic helium plasma coagulation for the treatment of endometriosis (IPG171) Laparoscopic helium plasma coagulation for the treatment of endometriosis | Guidance and guidelines | NICE Laparoscopic helium plasma coagulation for the treatment of endometriosis Interventional procedures guidance [IPG171] Published date: May 2006 Share Save Guidance and for this guidance. Your responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence

National Institute for Health and Clinical Excellence - Interventional Procedures2006

82. Non-steroidal anti-inflammatory drugs for pain in women with endometriosis.

Non-steroidal anti-inflammatory drugs for pain in women with endometriosis. BACKGROUND: Endometriosis is a common gynaecological condition that affects women and can lead to painful symptoms and infertility. It affects women's quality of life greatly, impacting on their careers, everyday activities, sexual and non-sexual relationships, and fertility. Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly used first-line treatment for endometriosis. OBJECTIVES: To assess (...) the effects of NSAIDs for the management of pain in women with endometriosis compared to placebo, other NSAIDs, other pain management drugs, or no treatment. SEARCH STRATEGY: We searched the Cochrane Menstrual Disorders and Subfertility Group Specialised Trials Register (May 2005) published in the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (1966 to May 2005), EMBASE (1980 to May 2005) and the reference lists from relevant publications. Experts in the field were also contacted

Cochrane2005

83. Is helium thermal coagulator therapy for the treatment of women with minimal to moderate endometriosis cost-effective: a prospective randomised controlled trial

Is helium thermal coagulator therapy for the treatment of women with minimal to moderate endometriosis cost-effective: a prospective randomised controlled trial Is helium thermal coagulator therapy for the treatment of women with minimal to moderate endometriosis cost-effective: a prospective randomised controlled trial Is helium thermal coagulator therapy for the treatment of women with minimal to moderate endometriosis cost-effective: a prospective randomised controlled trial Lalchandani S (...) an ionised plasma beam or corona-type flame, the energy from which is delivered to the patient's target tissue via a probe. Type of intervention Treatment for endometriosis. Economic study type Cost-effectiveness analysis. Study population The study population comprised women presenting to a gynaecology outpatient clinic with a history of pelvic pain, dysmenorrhoea, dyspareunia, and dyschesia suggestive of endometriosis, or who had previously been diagnosed with the disease. Patients were excluded

NHS Economic Evaluation Database.2005

85. Laparoscopic helium plasma coagulation of endometriosis

Laparoscopic helium plasma coagulation of endometriosis Laparoscopic helium plasma coagulation of endometriosis Laparoscopic helium plasma coagulation of endometriosis National Institute for Clinical Excellence Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation National Institute for Clinical Excellence. Laparoscopic helium plasma coagulation of endometriosis (...) . London: National Institute for Clinical Excellence (NICE) 2004: 2 Authors' objectives This study aims to assess the current evidence on the safety and efficacy of laparoscopic helium plasma coagulation of endometriosis. Authors' conclusions 1.1 Current evidence on the safety and efficacy of laparoscopic helium plasma coagulation of endometriosis does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research. 1.2 Clinicians wishing

Health Technology Assessment (HTA) Database.2004

86. Ovulation suppression for endometriosis.

Ovulation suppression for endometriosis. BACKGROUND: Endometriosis is the finding of endometrial glands or stroma in sites other than the uterine cavity. Endometriosis appears to be an estrogen dependent condition. This hormonal dependency has prompted the therapeutic use of ovulation suppression agents, in an effort to improve subsequent fertility. OBJECTIVES: To determine the effectiveness of a) ovulation suppression with danazol, medroxy progesterone acetate, gestrinone (...) , combined oral contraceptive pills and GnRH analogues versus placebo or no treatment and b) any of the above agents versus danazol, for the treatment of endometriosis-associated subfertility. SEARCH STRATEGY: We searched the Cochrane Menstrual Disorders and Subfertility Group trial register (searched 30 April 2002), the Cochrane Central Register of Controlled Trials (Cochrane Library, Issue 2, 2002), MEDLINE (January 1966 to December 1998), EMBASE (January 1985 to December 1997) and reference lists of articles. We also

Cochrane2003

87. Peritoneal fluid, endometriosis, and ciliary beat frequency in the human fallopian tube.

Peritoneal fluid, endometriosis, and ciliary beat frequency in the human fallopian tube. Endometriosis and infertility are known to be associated, but it is unclear whether endometriosis causes infertility. We used contrast analogue enhancement to study the effect of peritoneal fluid from women with early stage endometriosis on the ciliary beat frequency of human fallopian tube epithelium. We obtained peritoneal fluid from six women with early stage endometriosis and from six fertile women (...) with no evidence of endometriosis to use as controls. Fallopian tubes from hysterectomy specimens were collected from 17 women. The difference in ciliary beat frequency between fallopian tubes exposed to peritoneal fluids of women with and without endometriosis increased with the duration of incubation (mean difference at 24 h 1.35 Hz, 95% CI 0.94-1.75, p=0.01). At 24 h, ciliary beat frequency was significantly lower in the incubations with peritoneal fluid from women with endometriosis than controls (4.29

Lancet2002

88. A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis

A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis A systematic review of the accuracy of ultrasound in the diagnosis of endometriosis Moore J, Copley S, Morris J, Lindsell D, Golding S, Kennedy S Authors' objectives To assess the diagnostic performance of transvaginal and transabdominal ultrasound, with or without Doppler, to diagnose pelvic endometriosis. Searching MEDLINE (...) Doppler, were eligible for inclusion. Studies of rectal ultrasound or endoscopic ultrasonography were excluded. Reference standard test against which the new test was compared The studies had to compare ultrasound examination with a visual assessment of the pelvis using laparoscopy or laparotomy to be eligible for inclusion. Participants included in the review Studies of women with pelvic pain, infertility, a pelvic mass, or other complaint where endometriosis is one of the differential diagnoses were

DARE.2002

89. [Treatment of pain caused by endometriosis]

[Treatment of pain caused by endometriosis] Endometrioosin aiheuttaman kivun hoito [Treatment of pain caused by endometriosis] Endometrioosin aiheuttaman kivun hoito [Treatment of pain caused by endometriosis] Setala M, Hurskainen R, Kauko M, Kujansuu E, Tiitinen A, Vuorma S, Makela M Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Setala (...) M, Hurskainen R, Kauko M, Kujansuu E, Tiitinen A, Vuorma S, Makela M. Endometrioosin aiheuttaman kivun hoito. [Treatment of pain caused by endometriosis] Helsinki: Finnish Office for Health Care Technology Assessment (FinOHTA). FinOHTA Report No. 19. 2001 Authors' objectives This report aims to collect present knowledge on treating endometriosis-linked pain. Authors' conclusions NSAIDs decrease menstrual pain linked to endometriosis. Among hormonal drugs, a continuous peroral daily dose of 100

Health Technology Assessment (HTA) Database.2001

90. Laparoscopic ablation or resection of endometriosis deposits for moderate and severe endometriosis

Laparoscopic ablation or resection of endometriosis deposits for moderate and severe endometriosis Laparoscopic ablation or resection of endometriosis deposits for moderate and severe endometriosis Laparoscopic ablation or resection of endometriosis deposits for moderate and severe endometriosis Ball C M Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Ball C M (...) . Laparoscopic ablation or resection of endometriosis deposits for moderate and severe endometriosis. London: Bazian Ltd (Editors), Wessex Institute for Health Research and Development, University of Southampton 2001: 9 Authors' objectives This study aims to assess the effects of laparoscopic ablation or resection of endometriosis deposits in women with moderate and severe endometriosis. Authors' conclusions Further studies are required to assess the role of laparoscopic surgery for managing stage III-IV

Health Technology Assessment (HTA) Database.2001

91. Danazol for pelvic pain associated with endometriosis.

Danazol for pelvic pain associated with endometriosis. BACKGROUND: Endometriosis is defined as the presence of endometrial tissue (stromal and glandular) outside the normal uterine cavity. Conventional medical and surgical treatments for endometriosis aim to remove or decrease deposits of ectopic endometrium. The observation that hyperandrogenic states (an excess of male hormone) induce atrophy of the endometrium has led to the use of androgens in the treatment of endometriosis. Danazol is one (...) of these treatments used. The efficacy of danazol is based on its ability to produce a high androgen/low estrogen environment (a pseudo menopause) which results in the atrophy of endometriotic implants and thus an improvement in painful symptoms. OBJECTIVES: To determine the effectiveness of danazol compared to placebo or no treatment in the treatment of the symptoms and signs, other than infertility, of endometriosis in women of reproductive age. SEARCH STRATEGY: The Menstrual Disorders Group search strategy

Cochrane2001

92. Laparoscopic surgery for pelvic pain associated with endometriosis.

Laparoscopic surgery for pelvic pain associated with endometriosis. OBJECTIVES: To assess the efficacy of laparoscopic surgery in the treatment of pelvic pain associated with endometriosis. The review aims to compare the effectiveness of any laparoscopic procedure versus any other treatment modality, including expectant management. SEARCH STRATEGY: The search strategy of the Menstrual Disorders and Subfertility Review Group was used to identify all publications that described or might have (...) described randomised trials of laparoscopic surgery in the treatment of symptomatic endometriosis. For a full description of the Review Group strategy see the Review Group details. SELECTION CRITERIA: Trials were selected if they were randomised and compared the effectiveness of laparoscopic surgery in the treatment of pelvic pain associated with endometriosis, with other treatment modalities or placebo. DATA COLLECTION AND ANALYSIS: One study had data appropriate for inclusion within the review

Cochrane2001

93. An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies

An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies An evidence-based medicine approach to the treatment of endometriosis-associated chronic pelvic pain: placebo-controlled studies Howard F M Authors' objectives To assess the efficacy of treatment of endometriosis-associated chronic pelvic (...) pain. Searching MEDLINE was searched from 1976 to 1998 for articles published in the English language, using a combination of the following MeSH and textwords: 'endometriosis', 'pelvic pain', 'treatment'. Additional studies were located by examining the references from the identified studies, and by contacting the authors of selected studies. Study selection Study designs of evaluations included in the review Placebo-controlled randomised clinical trials (RCTs) were eligible if they scored at least

DARE.2000

94. Surgical management of endometriosis

Surgical management of endometriosis Surgical management of endometriosis Surgical management of endometriosis Vercellini P, De Giorgi O, Pisacreta A, Pesole A P, Vicentini S, Crosignani P G Authors' objectives To evaluate the effects of pelvic denervations in addition to conservative surgery on dysmenorrhoea and deep dyspareunia associated with endometriosis. Searching Articles published in the English language were sought in MEDLINE (1977 to 1998) and EMBASE (1980 to 1998) using the following (...) MeSH terms: 'endometriosis', 'pelvic pain', 'presacral neurectomy', 'uterosacral ligament resection' and 'surgical therapy'. Handsearches were conducted of the main specialty journals (American Journal of Obstetrics and Gynaecology, British Journal of Obstetrics and Gynaecology, Fertility and Sterility, and Obstetrics and Gynaecology). Additional reports were identified by reviewing all references from retrieved articles and by consulting books and monographs on endometriosis published in the last

DARE.2000

95. Is minimal or mild endometriosis associated with infertility?

Is minimal or mild endometriosis associated with infertility? Is minimal or mild endometriosis associated with infertility? Is minimal or mild endometriosis associated with infertility? Burrows E Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Burrows E. Is minimal or mild endometriosis associated with infertility? Clayton, Victoria: Centre for Clinical (...) Effectiveness (CCE) 2000: 16 Authors' objectives This aim of this report was to assess whether minimal or mild endometriosis is associated with infertility. Authors' conclusions - Six studies met the inclusion/exclusion criteria - The best evidence available does not confirm an association between minimal and mild endometriosis and infertility. However, a consistent trend in results suggests a negative impact of minimal and mild endometriosis on fertility. - Four of the six identified studies were conducted

Health Technology Assessment (HTA) Database.2000

96. Ovulation suppression for endometriosis.

Ovulation suppression for endometriosis. BACKGROUND: Although the etiology of endometriosis is unknown, several theories exist, the most popular of which is retrograde menstruation. As endometriosis can only be diagnosed by laparoscopy, neither the incidence (annual occurrence) nor the prevalence (proportion of the population affected) of endometriosis is known. The association between endometriosis and infertility isn't clear in Stage I (minimal) and Stage II (mild) endometriosis (...) . Endometriosis appears to be an estrogen dependent condition. At the time of menopause, most endometriosis becomes quiescent. This hormonal dependency prompted researchers to seek agents which would suppress ovarian activity. OBJECTIVES: To determine effectiveness of a) ovulation suppression with danazol, medroxy progesterone acetate, gestrinone, combined oral contraceptive pills and GnRH analogues versus placebo or no treatment and b) any of the above agents versus danazol, for the treatment

Cochrane2000

97. Modern combined oral contraceptives for pain associated with endometriosis.

Modern combined oral contraceptives for pain associated with endometriosis. BACKGROUND: Endometriosis is a major women's health-care problem. It causes pain and/or infertility, and affects millions of women worldwide. Endometriosis is defined according to histological criteria by the presence of tissue resembling endometrium in sites outside the uterus, most commonly the ovaries and peritoneum. The aim of treatment has been to remove the deposits of ectopic endometrium that are thought (...) to be responsible for the symptoms of endometriosis. This can be achieved surgically by destroying or removing the implants; medical therapies induce atrophy within the hormonally-dependent ectopic endometrium. The duration of hormonal treatment may be limited by unwanted side effects. There is some evidence, however, from epidemiological research that current use of the combined oral contraceptive pill (OCP) is associated with a reduced incidence of endometriosis. The combined pill has the great advantage over

Cochrane2000

98. Gonadotrophin-releasing hormone analogues for pain associated with endometriosis.

Gonadotrophin-releasing hormone analogues for pain associated with endometriosis. BACKGROUND: Endometriosis is a common gynaecological condition that frequently presents with the symptom of pain. The precise pathogenesis (mode of development) of endometriosis is unclear but it is evident that endometriosis arises by the dissemination of endometrium to ectopic sites and the subsequent establishment of deposits of ectopic endometrium. The observation that endometriosis is rarely seen in the hypo (...) to non stimulation of the ovary). OBJECTIVES: To determine the effectiveness of Gonadotrophin Releasing Hormone analogues (GnRHas) in the treatment of the painful symptoms of endometriosis by comparing them with no treatment, placebo, other recognised medical treatments, and surgical interventions. SEARCH STRATEGY: The search strategy of the Menstrual Disorders and Subfertility review group (please see Review Group details) was used to identify all randomised trials of the use of GnRHas

Cochrane2000

99. Danazol for pelvic pain associated with endometriosis.

Danazol for pelvic pain associated with endometriosis. BACKGROUND: Endometriosis is defined as the presence of endometrial tissue (stromal and glandular) outside the normal uterine cavity. Conventional medical and surgical treatments for endometriosis aim to remove or decrease deposits of ectopic endometrium. The observation that hyperandrogenic states (an excess of male hormone) induce atrophy of the endometrium has led to the use of androgens in the treatment of endometriosis. Danazol is one (...) of these treatments used. The efficacy of danazol is based on its ability to produce a high androgen/low estrogen environment (a pseudo menopause) which results in the atrophy of endometriotic implants and thus an improvement in painful symptoms. OBJECTIVES: To determine the effectiveness of danazol compared to placebo or no treatment in the treatment of the symptoms and signs, other than infertility, of endometriosis in women of reproductive age. SEARCH STRATEGY: The Menstrual Disorders Group search strategy

Cochrane2000

100. Progestagens and anti-progestagens for pain associated with endometriosis.

Progestagens and anti-progestagens for pain associated with endometriosis. BACKGROUND: Endometriosis is a gynaecological condition that presents either with the problem of infertility or with painful symptoms. The clinical observation of an apparent resolution of symptoms during pregnancy gave rise to the concept of treating patients with a pseudo-pregnancy regime. Initially combinations of high dose oestrogens and progestagens were used but this was subsequently replaced by progestogens alone (...) . More recently progestogens of both progestagens and anti-progestagens in the treatment of symptomatiprogestogenssis OBJECTIVES: To determine the effectiveness of both the progestagens and anti-progestagens in the treatment of painful symptoms ascribed to the diagnosis of endometriosis. SEARCH STRATEGY: The search strategy of the Menstrual Disorders and Subfertility Group was utilised to identify all publications which described or might have described randomised trials of any progestagen or any

Cochrane2000