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Diagnostic delay of endometriosis in adults and adolescence-current stage of knowledge
Affiliation:1. 1st Department of Obstetrics and Gynaecology, Medical University of Warsaw, Warsaw, Poland;2. Oviklinika Infertility Center, Warsaw, Poland;1. Shandong Key Laboratory of Biophysics, Institute of Biophysics, Dezhou University, Shandong, Dezhou, China;2. Dezhou 2nd People''s Hospital, Shandong, Dezhou, China;1. Department of Microbiology and Medical Laboratory Immunology, Medical University of Lodz, Lodz, Poland;2. Department of Rheumatology, Medical University of Lodz, Lodz, Poland;1. Department of Pneumonology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Katowice, Poland;2. Department of Pediatric Surgery and Pediatric Urology, Upper Silesian Child Health Centre, School of Medicine in Katowice, Medical University of Silesia in Katowice, Katowice, Poland;3. Department of Epidemiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland;4. Department of Medicine, College of Medicine & Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, Canada;5. Department of Cardiology and Structural Heart Diseases, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland;6. Faculty of Science and Technology, University of Silesia in Katowice, Chorzów, Poland;7. Department of Swimming and Water Rescue, Institute of Sport Science, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland;8. Department of Cardiac Anaesthesia and Intensive Care, Silesian Centre for Heart Diseases in Zabrze, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland;9. Department of Pediatrics, College of Medical Science, University of Rzeszow, Poland;10. Department of Orthopaedics, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Katowice, Poland;11. Department of ENT, Faculty of Medical Sciences in Katowice, Medical University Silesia, Katowice, Poland;1. Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland;2. Department of Nephrology and Internal Medicine, University Hospital, Opole, Poland;1. Division of Oncological Propedeutics, Faculty of Health Sciences, Medical University of Gdansk, Gdynia, Poland;2. Department of Surgical Oncology, Gdynia Oncology Centre, Maritime Polish Red Cross Memorial Hospital, Gdynia, Poland;3. Department of Clinical Nutrition, Medical University of Gdansk, Gdansk, Poland;4. Department of Histology, Medical University of Gdansk, Gdansk, Poland;5. Faculty of Finance and Management, WSB University in Gdansk, Gdansk, Poland;1. Endocrinology Outpatient Clinic, Central Teaching Hospital, Lodz, Poland;2. Department of Clinical Endocrinology, Medical University of Lodz, Lodz, Poland
Abstract:PurposeThe purpose of this article is to provide a modern perspective on the diagnosis of endometriosis with particular attention to the role of ultrasound examination. In the present study, we highlight the problem of endometriosis in teenage girls and discuss the patients’ perspective on the diagnostic process.MethodsIn order to present the most recent reports on the diagnosis of endometriosis, the PubMed database was searched. Articles published within the last 3 years (2019–2021) and those considered relevant during the bibliographic review were analyzed.ResultsThe role of ultrasound examination and assessment of patients' perspective related to delayed and incorrect diagnosis were considered to be the most important in the recent reports. Attention was also paid to the problem of endometriosis diagnosis in adolescent girls.ConclusionsAppropriately constructed and used questionnaires help to determine the risk of endometriosis in a particular patient. The primary method for diagnosis is extended ultrasound examination, which should be performed especially in patients with a high risk of developing the disease. This procedure is applicable to both adult and adolescent women. Awareness of the possibility of developing the disease in a particular patient, combined with appropriate use of ultrasound examination, can contribute to the decrease in diagnostic delay.
Keywords:Endometriosis  Diagnosis  Diagnostic delay  Ultrasound  Adolescence
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