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OBJECTIVE To investigate the reasons women experience delays in the diagnosis of endometriosis and the impact of this. DESIGN A qualitative interview-based study of 32 women, 28 of whom were subsequently diagnosed with endometriosis. SETTING Southeast England. PATIENT(S) Women attending a pelvic pain clinic. INTERVENTION(S) Semistructured(More)
OBJECTIVE To determine the value of patient-reported symptoms in diagnosing endometriosis. DESIGN A national case-control study. SETTING Data from the UK General Practice Research Database for years 1992-2001. SAMPLE A total of 5540 women aged 15-55 years, diagnosed with endometriosis, each matched to four controls without endometriosis. METHODS(More)
OBJECTIVE The aim of this study was to compare the diagnostic performance of clinical vaginal examination with that of transvaginal sonography (TVS) in the presurgical diagnosis of deep infiltrating endometriosis. METHODS One-hundred and fifty-five women with symptoms suggestive of endometriosis were included. One-hundred and twenty-nine patients met the(More)
OBJECTIVE To investigate whether the increased chances of having a diagnosis of irritable bowel syndrome (IBS) and pelvic inflammatory disease (PID) in women with endometriosis is due to misdiagnosis or co-morbidity. DESIGN A case-control study of women aged 15-55 years with endometriosis and matched controls. SETTING Data from the UK's General Practice(More)
STUDY OBJECTIVE Although superficial endometriosis can be treated effectively and safely by most gynecologic surgeons, deep infiltrating disease (DIE) needs to be treated in specialist endometriosis centers. For women to be treated in the most appropriate setting, it is necessary to identify if they have DIE. DESIGN Prospective observational study(More)
OBJECTIVE To investigate whether different dimensions of chronic pelvic pain are useful in the diagnosis of endometriosis. DESIGN A prospective questionnaire-based study of 185 women. SETTING Southeast of England. PATIENT(S) Women undergoing a diagnostic laparoscopy for chronic pelvic pain. INTERVENTION(S) Preoperative questionnaire. MAIN OUTCOME(More)
OBJECTIVE To determine whether laparo-endoscopic single-site surgery (LESS) results in less postoperative pain and a better cosmetic surgical scar compared with conventional laparoscopy. DESIGN Prospective randomized controlled trial. SETTING A county hospital in Norway. PATIENT(S) Forty women with benign adnexal disease or a hereditary cancer risk(More)
A cohort of 108 women with chronic pelvic pain underwent a laparoscopy, and a diagnosis of endometriosis was made in 88 (81%). Pre-operative and 2 years post-operative pain scores, using a ranked ordinal scale, were calculated for 44 women with complete pelvic organs (50%) and full data sets. Endometriosis was diagnosed on the basis of histological(More)
BACKGROUND Antibiotic prescribing by GPs in the UK has declined since 1995. AIM We investigated whether general practices that issue fewer antibiotic prescriptions to patients presenting with acute respiratory infections had lower consultation rates for these conditions. DESIGN OF STUDY Retrospective data analysis. SETTING UK general practice. (More)