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    Endometriosis. Kuliah s1, PPT

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    Endometriosis is a benign gynecological condition where endometrial tissue grows outside the uterus, most commonly causing pelvic pain, painful periods, and infertility. It has various proposed etiologies and is diagnosed through medical history, clinical examination, imaging like ultrasound and CT, and laparoscopy. Treatment involves medication like hormonal contraceptives, progestins, anti-progestins, and GnRH analogs or surgery like laparoscopy, with the goal of relieving symptoms and restoring fertility.

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    Endometriosis. Kuliah s1, PPT

    Uploaded by

    Magnus
    67 views9 pages
    Endometriosis is a benign gynecological condition where endometrial tissue grows outside the uterus, most commonly causing pelvic pain, painful periods, and infertility. It has various proposed etiologies and is diagnosed through medical history, clinical examination, imaging like ultrasound and CT, and laparoscopy. Treatment involves medication like hormonal contraceptives, progestins, anti-progestins, and GnRH analogs or surgery like laparoscopy, with the goal of relieving symptoms and restoring fertility.

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    Endometriosis

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    Endometriosis. Kuliah s1,Ppt

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    Endometriosis is a benign gynecological condition where endometrial tissue grows outside the uterus, most commonly causing pelvic pain, painful periods, and infertility. It has various proposed etiologies and is diagnosed through medical history, clinical examination, imaging like ultrasound and CT, and laparoscopy. Treatment involves medication like hormonal contraceptives, progestins, anti-progestins, and GnRH analogs or surgery like laparoscopy, with the goal of relieving symptoms and restoring fertility.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    67 views9 pages

    Endometriosis. Kuliah s1, PPT

    Uploaded by

    Magnus
    Endometriosis is a benign gynecological condition where endometrial tissue grows outside the uterus, most commonly causing pelvic pain, painful periods, and infertility. It has various proposed etiologies and is diagnosed through medical history, clinical examination, imaging like ultrasound and CT, and laparoscopy. Treatment involves medication like hormonal contraceptives, progestins, anti-progestins, and GnRH analogs or surgery like laparoscopy, with the goal of relieving symptoms and restoring fertility.

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    © All Rights Reserved
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    of 9

    ENDOMETRIOSIS

    Dr. Andi Mardiah Tahir, SpOG


    Divisi Fertilitas Endokrinologi Reproduksi (FER)
    Bag. OBGIN FK UNHAS
    Pandangan Umum

    Endometriosis penyk jinak


    ginek, > usia reprod jar
    endom berada diluar kav.uteri
    Kausa ??? sangat dipengaruhi
    hormon steroid (E)
    Erat hub (80%) Nyeri pelvik,
    nyeri haid & infertilitas
    ETIOLOGI (Disease of the theories)

    Regurgitasi & Implantasi haid


    (Simpson,1927)
    Genetik & Imunologi (Dmowski)
    Metaplasia (Meier)
    Induksi darah haid
    Fc lingk di C.D / cairan peritn
    aktifitas angiotensin m
    Fc lingk :merkuri,DTT/Dioxin
    Diagnosis

    Anamnesis: nyeri pelvik (70-


    80%),nyeri organ-2
    Infertil: 70-80% pd unexpl.infert
    Pem klinis : nyeri & nodul-2
    Pem penunjang : USG, CT scan
    CA 125.
    Unt D/ pasti Laparoskopi
    Stadium-2 (AFS & EEC)
    Unt pengobatan & eval hsl R/
    AFS :4 stad
    i. Minimal (lesi min pd perit &1ov)
    ii.Mild (lesi pd perit, ke2 ov, C.D)
    iii.Moderate (perit, tuba, ke2 ov &
    perlengketan minimal-sedang)
    iv.Severe (perit, tuba, ke2 ov, C.D.
    & perlengketan luas)
    EEC : stqa kec pd stad.4:pd organ
    diluar rgg pelvik (usus,paru,dll)
    Terapi

    Prinsip : R/ secepat mungkin


    Medikamentosa :pil KB, progest,
    anti prog, mifepriston,GnRh
    analog(agonis/antag),aromatase
    inhibitor.
    Pembedahan / Laparoskopi
    Kombinasi
    Bl ES + : Add back therapy
    ADENOMIOSIS

    Endometriosis dlm miometrium


    nyeri haid & infertilitas
    Rekurensi tinggi
    Respon jelek dg GnRh analog
    Diagnosis : Anamnesis
    USG
    Laparoskopi
    MRI
    Manajemen & Prognosis

    Manajemen :
    - Reseksi adenomiosis
    - Aromatase inhibitor slm 6 bln
    Prognosis :
    Kurang memuaskan

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