The relevance of asymptomatic endometriosis
Abstract
Asymptomatic endometriosis is likely to be a physiological phenomenon of very limited relevance to both the physician and the patient. The evolution of our understanding of this phenomenon is a parable for modern medicine. It is likely that access to a new diagnostic technique, a powerful armoury of medical and surgical treatments and the necessity for doctors to feel they are doing something positive for the patient, have created an incorrect disease model for asymptomatic endometriosis. As responsible clinicians and medical scientists it behoves us to honestly re-examine our approach to this phenomenon.
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Asymptomatic endometriosis is the incidental finding of endometriotic foci during other laparoscopic surgeries, such as tubal ligation.
“Indeed, asymptomatic endometriosis (55,56), which is the incidental finding of endometriotic foci during other laparoscopic surgeries, such as tubal ligation (46,57), complicates our understanding of the relationship between the presence of endometriotic foci and incidence of pelvic pain in symptomatic women.”
From Biomarkers in endometriosis: Challenges and opportunities (2017) · cites this paper as [56]
Pelvic pain is not present in all endometriosis patients.
“Also, pelvic pain is not present in all endometriosis patients.”
From Biomarkers in endometriosis: Challenges and opportunities (2017) · cites this paper as [56]
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- Authors
- Thomas, E. J.
- Affiliations
- Princess Anne Hospital (GB)
- Corresponding author
- Thomas, E. J.
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 1996-11-01
- Volume
- 11
- Issue
- suppl 3
- Pages
- 103-109
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W2133241584
- Cited by
- 43
- References
- 5
- Citations by year
- 2022: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2014: 2
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ectopic Pregnancy Diagnosis and Management
- Keywords
- asymptomatic endometriosis, endometriosis, disease models, unnecessary testing, overtreatment, clinical management
- MeSH terms
- Endometriosis, Female, Humans, Peritoneal Diseases
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