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Which Information for an Endometriosis Visit ?

Information for a first visit

Pain

Since when?: .and how did it started ……………………. months/years
Type of Pain : during periods : …/3 ; every day : …/3 ; pain at intercourse : …/3 scoring :
  pain when going go to the toilet : …/3 ; pain during micturition : …/3.during periods from 1 to 3
Where Pain ? lower back ? hypogastric ?
circle
Radiation to lower back, anterior side of the legs up to the knee le/ri, the whole leg le/ri , perineal (anus and vagina) circle

Infertility

Since when?: …………………….. months/years
Exploration ovulation complete
  transport  
  implantation  
  cervical function  
  spermiogram  
IVF number : ….. ; where ? Result ?  

Previous investigations

Ultrasound …………………….. when ? by whom ? results ?
Laparoscopy …………………………  
IVP    
Contrast Enema    
Others MRI CAT scan  

Surgery  ?

where ? by whom ? Laparoscopy ?, laparotomy ? ; bowel resection ? Complete ?

Medical treatment ?

which treatment, before and after surgery

Bring all reports you have

pain radiation

localisation of pain in endometriosis

ovarian pain

localisation of pain in endometriosis

pain in deep endo


only backpain is not endo

Endometriosis pain in gynecology

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