Endometriose
Sist revidert:
Sist revidert av:Ingrid Marie Ringen
Definisjon:
Endometrieliknendevev utenfor uterinhulen. Inflammatorisk tilstand. Sykdomsaktivitet stimuleres av østrogen
Forekomst:
6-10% i den generelle fertile kvinnelige befolkningen.
Symptomer:
Dysmenore, lave magesmerter og kraftig mensblødning. Ev. dysuri og/eller defekasjonssmerter under menstruasjon, obstipasjon, diare, dyp dyspareuni, kvalme
Funn:
Klinisk undersøkelse er ofte normal. Viktige funn ved bimanuell palpasjon er øm oppfylning over adnex/bak cervix, nedsatt mobilitet av uterus
Diagnostikk:
Effekt av empirisk hormonell behandling og NSAID (primærhelsetjenesten). Ev. transvaginal UL og ev. laparoskopi.
Behandling:
Symptomatisk behandling med NSAIDs, empirisk hormonell behandling.Kirurgi ved manglende effekt av hormoner eller funn av omfattende endometriose. Ev. assistert befruktning ved infertilitet
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- Majak GB. et al. Endometriose og adenomyose. Norsk gynekologisk forening Veileder i gynekologi (2021). ePub. ISBN 978-82-692382-1-1. Siden besøkt 12.10.2021 www.legeforeningen.no
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- Ingrid Marie Ringen, spesialist i kvinnesykdommer og fødselshjelp, overlege, seksjon for generell gynekologi, Kvinneklinikken, St. Olavs hospital Trondheim
- Silje Folven Barlindhaug, spesialist i allmennmedisin, redaktør NEL
Tidligere fagmedarbeidere
- Mette Haase Moen, førsteamanuensis ved Norges teknisk-naturvitenskapelige universitet og overlege ved Kvinneklinikken St. Olavs Hospital, Trondheim