RO/EN: Cei 10 “NU” in managerierea endometriozei, o lista realizata de specialistii italieni, membri ai “Endometriosis Treatment Italian Club”

RO: Cei 10 “NU” in managerierea endometriozei, o lista realizata de specialistii italieni, membri ai “Endometriosis Treatment Italian Club”. Bineinteles, medicii vostri pot fi de acord sau nu cu anumite puncte din aceasta lista, dar tot cred ca este una de studiat, in special de ei. Contine (cel putin) cateva puncte foarte importante, pe care ar trebui sa le stim cu totii, medici si pacienti. Va las aici doar 5 dintre ele, pe restul pe gasiti pe Pubmed.com.

As mai vrea sa mentionez ca, din pacate, observ ca specialistii lasa cumva in afara cercetarilor femeile care nu pot tolera sau carora le este contraindicata administrarea de anticonceptionale (trebuie sa fiu corecta, aici, insa, in lista lor, specialistii italieni amintesc si de aceasta categorie). Sper ca pe viitor sa se incerce sa se gaseasca solutii si pentru noi, indiferent de varsta, stadiul bolii sau dorinta de a procrea.

 
1). NU sugera laparoscopia pentru a detecta si trata endometrioza peritoneala superficiala in femeile infertile, fara simptome asociate durerii pelvine.

2). NU recomanda stimularea ovariana controlata sau IUI (inseminarea intrauterina) la femeile infertile cu endometrioza, in orice stadiu de boala ar fi ele.

3). NU indeparta endometrioamele ovariane mici (cu diametrul de sub 4 cm) cu singurul obiectiv de a imbunatati sansele de conceptie, la pacientele infertile programate pentru FIV.

4). NU indeparta leziunile endometriozice profunde, necomplicate la pacientele asimptomatice, dar nici la pacientele simptomatice care nu doresc sa conceapa, atunci cand tratamentul medical este eficient si bine tolerat.

5). NU recomanda analiza repetata CA-125 (sau alti bio-markeri) la femeile care folosesc cu succes tratamentele medicale pentru endometrioza necomplicata, in absenta unor chiste ovariene suspecte.

Marina Rasnoveanu

Daca vreti sa cititi si alte materiale despre endometrioza si un stil de viata sanatos, urmariti-mi blogul si pe Facebook sau Instagram.

 
EN: When more is not better: 10 dont’s in endometriosis management – here’s a list of recommandations made by some Italian doctors, members of “Endometriosis Treatment Italian Club”.
Of course, your doctors might agree or not with some of the points, but I really do believe it is a material worth to be studied, especially by them. It contains (at least) some important information that should be known by all of us, patients or doctors. I will leave you here 5 of these points, read the rest of them on Pubmed.com.

I would like to also mention the fact that, unfortunately, doctors seem to let out of the studies patients who cannot tolerate birth control pills or the ones who cannot take this type of treatment. (although in the mentioned list, the Italian doctors mention this category too). I really hope that in the future, doctors should be more aware of the fact we are not few and that they should try to find solutions even for us, no matter the age,  stage of the disease, seeking/not seeking to conceive etc.
 
1). DO NOT suggest laparoscopy to detect and treat superficial peritoneal endometriosis in infertile women without pelvic pain symptoms

2). DO NOT recommend controlled ovarian stimulation and IUI in infertile women with endometriosis at any stage

3). DO NOT remove small ovarian endometriomas (diameter <4 cm) with the sole objective of improving the likelihood of conception in infertile patients scheduled for IVF.

4). DO NOT remove uncomplicated deep endometriotic lesions in asymptomatic women, and also in symptomatic women not seeking conception when medical treatment is effective and well tolerated;

5). DO NOT recommend repeated follow-up serum CA-125 (or other currently available biomarkers) measurements in women successfully using medical treatments for uncomplicated endometriosis in the absence of suspicious ovarian cysts;
Marina Rasnoveanu
Do you want to read more articles about endometriosis and tips&tricks about a healthy lifestyle, follow my blog on Facebook and Instagram too.

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