Re: [問題] 醫學六 50
※ 引述《chihuahua (chihuahua)》之銘言:
: 醫學六 50
: Symptoms — Pain is the most common symptom associated with endometriosis.
: Approximately three quarters of symptomatic patients experience pelvic pain
: and/or dysmenorrhea [60]. The range of symptoms includes [60,61]:
: =Pelvic pain (which may be chronic, but is often more severe during menses
: or at ovulation)
: =Dysmenorrhea
: =Deep dyspareunia
: =Cyclical bowel or bladder symptoms
: =Subfertility
: =Abnormal menstrual bleeding
: 資料來源:
: Uptodate.com - Pathogenesis, clinical features, and diagnosis of endometriosis
: 其它:
: http://women.webmd.com/endometriosis/endometriosis-topic-overview
: (不知是否具有公信力)
: D不算是答案之一嗎?
: 有人可以查到相關數據嗎?
Comprehensive Gynecology, 5th ed.
Chapter 19 – Endometriosis : Etiology, Pathology, Diagnosis, Management
Rogerio A. Lobo
Clinical Diagnosis
…Symptoms…
It is important to reemphasize that endometriosis has many different clinical
presentations, with one in three women being asymptomatic. Most importantly,
the disease has an extremely unpredictable course. The classic symptoms of
endometriosis are cyclic pelvic pain and infertility. The chronic pelvic pain
usually presents as secondary dysmenorrhea or dyspareunia (or both).
Secondary dysmenorrhea usually begins 36 to 48 hours prior to the onset of
menses. However, approximately one third of patients with endometriosis are
asymptomatic, with the disease being discovered incidentally during an
abdominal operation or visualized at laparoscopy for an unrelated problem.
Conversely, endometriosis is discovered in approximately one of three women
whose primary symptom is chronic pelvic pain.
…
Abnormal bleeding is a symptom noted by 15% to 20% of women with
endometriosis. The most frequent complaints are premenstrual spotting and
menorrhagia. Usually this abnormal bleeding is not associated with an
anovulatory pattern. On the other hand, patients with endometriosis
frequently have ovulatory dysfunction. Approximately 15% of women with
endometriosis have coincidental anovulation.
話說,emdometriosis無症狀的女性就佔了1/3,abnormal bleeding也佔了15%-20%
所以不正常出血也不能算不常見症狀吧
若有GYN bible內容,也請補充
建議:無答案,全部送分
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