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Interstitial cystitis and adenomyosis frequently coexist in chronic pelvic pain syndrome.(Gynecology)
NEW YORK -- Interstitial cystitis often coexists with adenomyosis, just as it does with endometriosis, Stephen A. Grochmal, M.D., said at an international congress of the Society of Laparoendoscopic Surgeons.
"How many patients do we have who continue to have pain after endometrial ablation or after hysterectomy? Before we send them to a psychiatrist, perhaps we ought to give them a 5-minute screening questionnaire to see if they have associated interstitial cystitis," Dr. Grochmal of the division of operative gynecology, endoscopy, and laser surgery at Howard University. Washington.
If the patient's score on that questionnaire--the Pelvic Pain and Urgency/Frequency (PUF) patient symptom scale--suggests interstitial cystitis (IC), then diagnostic tests are indicated (Urology 2002;60:573-8).
In 2002, Maurice K. Chung, M.D., and his associates described the "evil twins" of endometriosis and IC in chronic pelvic pain syndrome. They found a 70% overlap of the two conditions among 60 women (JSLS 2002;6:311-4).
"After I read that, I considered that we might see the same thing with adenomyosis. After all, it is endometriosis of the myometrium," Dr. Grochmal explained.
So he retrospectively analyzed 287 women who were part of an ongoing study that compared the long-term effect on amenorrhea rates of endometrial resection by Nd:YAG laser ...
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Source: HighBeam Research, Interstitial cystitis and adenomyosis frequently coexist in chronic...