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Human Reproduction, Vol. 9, No. 5, pp. 770-771, 1994
© 1994 European Society of Human Reproduction and Embryology

other

The endometriosis cycle and its derailments

Ivo A. Brosens, Patrick Puttemans, Jan Deprest and Luk Rombauts

Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg B-3000 Leuven, Belgium

Today's clinical challenge of endometriosis is to know when Its presence can be called a disease and therefore to decide when treatment is Indicated. The evolution of endometrkasls is presented as a cycle which can derail. Local pelvic factors determine Its different appearances and clinical symptoms. Microscopic and subtle lesions, as recently described, can appear and disappear like mushrooms on the pentoneum (Figure 1), but progress some patients to chealcal peritoneal lesions (Figure 2), typical chocolate cysts of the ovary (Figure 3) or nodular lesions of the pelvic supporting tissues (Figure 4).


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