Specialist GP Nikki Vadgama provides some tips to make your next paediatric eczema consult easier. She includes a review of new guidelines, resources, websites and medications for paediatric eczema management
Wednesday 14 August 2024, 12:45 AM
Endometriosis: The thorn inside?
Wednesday 15 March 2023, 12:45 AM
[Image: Fraser Williamson]
March is Endometriosis Awareness Month. With the high incidence of endometriosis, this article, written by Deborah Bush, MNZM, QSM, will be of interest to all GPs wanting to challenge assumptions and think deeply, whether seeking to understand the biological process, improve clinical and supportive care for patients and their whānau, or adopt an inclusive approach to care. We must never forget the central place of the patient
This How to Treat has been endorsed by the RNZCGP and has been approved for up to 1 credit for continuing professional development purposes (1 credit , Educate small, BACK panel - grey
References
1. Tewhaiti-Smith J, Semprini A, Bush D, et al. An Aotearoa New Zealand survey of the impact and diagnostic delay for endometriosis and chronic pelvic pain. Sci Rep 2022;12(1):4425.
2. Macer ML, Taylor HS. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am 2012;39(4):535–49.
3. Grace VM. Problems of communication, diagnosis, and treatment experienced by women using the New Zealand health services for chronic pelvic pain: a quantitative analysis. Health Care Women Int 1995;16(6):521–35.
4. Ministry of Health. Diagnosis and Management of Endometriosis in New Zealand. Wellington, NZ: Ministry of Health; 2020.
5. Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Australian clinical practice guideline for the diagnosis and management of endometriosis. Melbourne, VIC: RANZCOG; 2021.
6. National Institute for Health and Care Excellence. Endometriosis: diagnosis and management. 2017.
7. Tomassetti C, Johnson NP, Petrozza J, et al. An international terminology for endometriosis, 2021. J Minim Invasive Gynecol 2021;28(11):1849–59.
8. Andres MP, Borrelli GM, Abrão MS. Endometriosis classification according to pain symptoms: can the ASRM classification be improved? Best Pract Res Clin Obstet Gynaecol 2018;51:111–18.
9. Keckstein J, Saridogan E, Ulrich UA, et al. The #Enzian classification: A comprehensive non-invasive and surgical description system for endometriosis. Acta Obstet Gynecol Scand 2021;100(7):1165–75.
10. Johnson N, East M. Adenomyosis. Endometriosis New Zealand, 2018.
11. Burney RO, Giudice LC. Pathogenesis and pathophysiology of endometriosis. Fertil Steril 2012;98(3):511–19.
12. Zondervan KT, Becker CM, Missmer SA. Endometriosis. N Engl J Med 2020;382(13):1244–56.
13. Hirata T, Koga K, Osuga Y. Extra-pelvic endometriosis: A review. Reprod Med Biol 2020;19(4):323–33.
14. European Society of Human Reproduction and Embryology. Endometriosis. 2022.
15. Bush D, Brick E, East MC, Johnson N. Endometriosis education in schools: A New Zealand model examining the impact of an education program in schools on early recognition of symptoms suggesting endometriosis. Aust N Z J Obstet Gynaecol 2017;57(4):452–57.
16. Gordts S, Koninckx P, Brosens I. Pathogenesis of deep endometriosis. Fertil Steril 2017;108(6):872–85.e1.
17. Department of Health and Aged Care, Australia. National Action Plan for Endometriosis. 2018.
18. Stratton P, Khachikyan I, Sinaii N, et al. Association of chronic pelvic pain and endometriosis with signs of sensitization and myofascial pain. Obstet Gynecol 2015;125(3):719–28.
19. Armour M, Parry K, Manohar N, et al. The prevalence and academic impact of dysmenorrhea in 21,573 young women: A systematic review and meta-analysis. J Womens Health (Larchmt) 2019;28(8):1161–71.
20. Chapron C, Vannuccini S, Santulli P, et al. Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update 2020;26(3):392–411.
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