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Impacto da endometriose na qualidade de vida
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Resumo(s)
A endometriose tem implicações críticas na qualidade de vida das mulheres, contudo, é ainda limitada uma perspectiva actual sobre assunto. Esta patologia é definida pela presença de tecido endometrial funcional fora da cavidade uterina, causando uma multiplicidade de sintomas, como sejam infertilidade, dor pélvica ou dismenorreia. Apesar de várias teorias explicativas do processo fisiopatológico, a patogénese e progressão da doença continuam ainda deficientemente compreendidas. A endometriose apresenta uma progressão dependente de estrogénio e a cirurgia definitiva pode levar à cura. Afectando mulheres jovens, o tratamento médico prolongado é relevante, assim como os efeitos secundários que dele podem advir e a sua associação a um alívio apenas parcial da dor e/ou recorrência dos sintomas. O acompanhamento médico de uma doente com endometriose exige uma abordagem holística e multidisciplinar, não descurando nenhum dos elementos contributivos para o bem-estar do ser humano. No presente trabalho de revisão será abordado o impacto que a endometriose, enquanto doença crónica, apresenta na qualidade de vida das mulheres, destacando dimensões nem sempre valorizadas pelos clínicos. É feita também uma breve exposição quanto ao tratamento disponível na actualidade.
Endometriosis has critical implications for women’s quality of life. However, an overview of the current knowledge of this issue is still limited. It is defined as the presence of functional endometrial tissue outside the uterine cavity causing a huge diversity of symptoms, such as infertility, pelvic pain or dysmenorrhea. Despite the huge number of theories explaining the physiopathology of the process, the pathogenesis and progression of the disease are still poorly understood. Endometriosis is a disease whose progression depends on estrogen and that can be effectively cured by definitive surgery. However, prolonged medical therapy may be needed in most of the cases since conservative surgery is usually performed especially in young women. This treatment modality is often associated with only partial relief and/or recurrence of the disease as well as several side effects. The medical management of endometriosis requires a holistic and multidisciplinary approach in order to understand all the aspects involved in the human well-being. In the present review, the impact of endometriosis, as a chronic disease, in women’s lives concerning certain aspects not always valued by clinicians is approached. Up-to-date findings on the treatment of endometriosis will also be briefly summarized.
Endometriosis has critical implications for women’s quality of life. However, an overview of the current knowledge of this issue is still limited. It is defined as the presence of functional endometrial tissue outside the uterine cavity causing a huge diversity of symptoms, such as infertility, pelvic pain or dysmenorrhea. Despite the huge number of theories explaining the physiopathology of the process, the pathogenesis and progression of the disease are still poorly understood. Endometriosis is a disease whose progression depends on estrogen and that can be effectively cured by definitive surgery. However, prolonged medical therapy may be needed in most of the cases since conservative surgery is usually performed especially in young women. This treatment modality is often associated with only partial relief and/or recurrence of the disease as well as several side effects. The medical management of endometriosis requires a holistic and multidisciplinary approach in order to understand all the aspects involved in the human well-being. In the present review, the impact of endometriosis, as a chronic disease, in women’s lives concerning certain aspects not always valued by clinicians is approached. Up-to-date findings on the treatment of endometriosis will also be briefly summarized.
Descrição
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2015
Palavras-chave
Endometriose Qualidade de vida Dismenorreia Infertilidade Dispareunia Saúde mental