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Asymptomatic endometriosis may not need Tx. (No Increased Risk of Pelvic Pain).
SAN DIEGO -- Women with asymptomatic endometriosis were no more likely to develop pelvic pain over a 13-year period than were those without the disease at the start of a longitudinal study, Dr. Mette H. Moen reported at the World Congress on Endometriosis.
This finding suggests that asymptomatic endometriosis lesions should be left alone if they are encountered during laparoscopic exams conducted for reasons other than pelvic pain, said Dr. Moen of the department of ob.gyn. at the University Hospital of Trondheim (Norway).
Between 1986 and 1989 she and an associate prospectively examined 196 healthy women undergoing tubal ligation, looking for endometriosis via laparoscopy. Suspicious lesions were biopsied. The women had a mean age of 37 years. Half were undergoing tubal ligation in connection with an elective abortion, she said at the meeting, which was sponsored by the World Endometriosis Society and the American Society for Reproductive Medicine.
They found asymptomatic endometriosis in 39 women: 36 had minimal endometriosis (stage I), 1 had mild endometriosis (stage II), and 2 had severe bilateral endometriomas (stage IV). Nearly all endometriosis lesions were red or clear, suggesting early-stage disease. The patients declined surgical treatment because they had no symptoms.
A questionnaire was mailed to all 196 women in 2001, asking them about pelvic pain, treatment, and menstruation status in the intervening 12-15 years. A total of 159 valid responses were received--32 from the women with asymptomatic endometriosis at baseline and 127 from those who did not have ...
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Source: HighBeam Research, Asymptomatic endometriosis may not need Tx. (No Increased Risk of...