Última revisión: 22 Ago 2021
Última actualización: 16 Jul 2021

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • presencia de factores de riesgo
  • dismenorrea
  • dolor pélvico crónico o cíclico
  • dispareunia
  • subfertilidad
  • nodularidad del ligamento uterosacro
  • masa pélvica
  • útero fijo y retrovertido
  • depresión
  • absentismo

Otros factores de diagnóstico

  • disuria, dolor en la fosa lumbar, hematuria
  • disquecia, hematoquecia

Factores de riesgo

  • grupo en edad reproductiva
  • raza blanca
  • antecedentes familiares positivos
  • nuliparidad
  • índice de masa corporal (IMC) bajo
  • anomalías mullerianas
  • enfermedad autoinmune
  • primer encuentro sexual tardío
  • tabaquismo
  • cesárea previa

Pruebas diagnósticas

Pruebas diagnósticas que deben considerarse

  • ultrasonido endoscópico rectal
  • ultrasonografía 3D
  • histerosalpingografía
  • resonancia magnética (IRM) de pelvis
  • laparoscopia diagnóstica

Algoritmo de tratamiento

Colaboradores

Autores

M. Jonathon Solnik, MD, FACOG FACS
M. Jonathon Solnik

Associate Professor of Obstetrics & Gynaecology

Head of Gynaecology & Minimally Invasive Surgery

Faculty of Medicine at the University of Toronto

Mt. Sinai Hospital

Toronto

Canada

Divulgaciones

MJS is an author of a number of references cited in this topic. He acts as a consultant for AbbVie (manufacturers of depot leuprolide), Medtronic, Hologic, and Olympus, and holds stocks in Felix and Field Trip Inc.

Ari Sanders, MD, FRSCS

Clinical Assistant Professor of Obstetrics and Gynecology

Division of Minimally Invasive Gynecologic Surgery

Department of Obstetrics and Gynecology

Peter Lougheed Centre

University of Calgary

Calgary

Canada

Divulgaciones

AS declares that he has no competing interests.

Agradecimientos

Dr M. Jonathon Solnik and Dr Ari Sanders would like to gratefully acknowledge Dr Sharon M. Jakus, a previous contributor to this topic.

Divulgaciones

SMJ declares that she has no competing interests.

Revisores por pares

Joseph S. Sanfilippo, MD, MBA

Professor

Department of Obstetrics, Gynecology, and Reproductive Sciences

Vice Chairman

Reproductive Sciences

Director

Division of Reproductive Endocrinology and Infertility

University of Pittsburgh

Pittsburgh

PA

Divulgaciones

JSS declares that he has no competing interests.

Justin C. Konje, MBBS, FMCOG, MRCOG, FWACS, MD, MBA

Professor of Obstetrics and Gynaecology

Leicester Royal Infirmary

Leicester

UK

Divulgaciones

JCK is an author of a reference cited in this topic.

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