Genital endometriosis: controversial issues and alternative approaches to diagnosis and treatment

Abstract

On the basis of the Department of Operative Gynecology of the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences from 1992 to 2002. examination, treatment and monitoring of 1234 patients with endometriosis was carried out, which served as material for the study of morphofunctional, endocrine, immune, biochemical, genetic aspects of endometriosis. Our clinical and scientific experience allowed us to determine our own positions and a circle of discussion questions corresponding to the main directions of further research on this problem, which are: is endometriosis a disease or not ?; development mechanisms; classification; diagnostic criteria; features of histological characteristics; endometriosis and genetics; endometriosis and the immune system; endometriosis and adenomyosis; retrocervical endometriosis; endometriosis and pelvic pain; endometriosis and adhesions; endometriosis and infertility; traditional and non-traditional approaches to diagnosis and treatment.

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